Healthcare Provider Details

I. General information

NPI: 1629904719
Provider Name (Legal Business Name): ESSENTIAL C.A.R.E. AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17515 W 9 MILE RD STE 525
SOUTHFIELD MI
48075-4420
US

IV. Provider business mailing address

30415 GEORGETOWN DR
BEVERLY HILLS MI
48025-4730
US

V. Phone/Fax

Practice location:
  • Phone: 313-220-1385
  • Fax:
Mailing address:
  • Phone: 313-220-1385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHEDA EDGAR
Title or Position: OWNER
Credential: RN
Phone: 313-220-1385