Healthcare Provider Details

I. General information

NPI: 1619830288
Provider Name (Legal Business Name): ESSENTIAL NURSE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 FORD RD STE 12
PHILADELPHIA PA
19131-2001
US

IV. Provider business mailing address

3900 FORD RD STE 12
PHILADELPHIA PA
19131-2001
US

V. Phone/Fax

Practice location:
  • Phone: 215-908-6561
  • Fax:
Mailing address:
  • Phone: 215-908-6561
  • 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: TAMIKA LEWIS
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 215-908-6561