Healthcare Provider Details

I. General information

NPI: 1912861964
Provider Name (Legal Business Name): ESSENCE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6064 XYLON AVE N
MINNEAPOLIS MN
55428-2774
US

IV. Provider business mailing address

6064 XYLON AVE N
MINNEAPOLIS MN
55428-2774
US

V. Phone/Fax

Practice location:
  • Phone: 763-843-2134
  • Fax:
Mailing address:
  • Phone: 763-843-2134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSELYNE S OGARO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 763-843-2134