Healthcare Provider Details

I. General information

NPI: 1376477950
Provider Name (Legal Business Name): ESSENTIAL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6830 96TH AVE N
PINELLAS PARK FL
33782-2949
US

IV. Provider business mailing address

6830 96TH AVE N
PINELLAS PARK FL
33782-2949
US

V. Phone/Fax

Practice location:
  • Phone: 813-325-6666
  • Fax: 813-325-6666
Mailing address:
  • Phone: 813-325-6666
  • Fax: 813-325-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: AIDA OSMANCEVIC
Title or Position: PROVIDER
Credential:
Phone: 813-325-6666