Healthcare Provider Details

I. General information

NPI: 1992388870
Provider Name (Legal Business Name): ESCR HEALTHCARE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 STARLIT DR
LAGUNA BEACH CA
92651-3035
US

IV. Provider business mailing address

1212 STARLIT DR
LAGUNA BEACH CA
92651-3035
US

V. Phone/Fax

Practice location:
  • Phone: 310-558-8367
  • Fax:
Mailing address:
  • Phone: 310-558-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KENT CHESLEY
Title or Position: CEO
Credential:
Phone: 949-293-8686