Healthcare Provider Details

I. General information

NPI: 1861491433
Provider Name (Legal Business Name): ESSENT PRMC LP HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 CLARKSVILLE ST
PARIS TX
75460-6027
US

IV. Provider business mailing address

PO BOX 9070
PARIS TX
75461-9070
US

V. Phone/Fax

Practice location:
  • Phone: 903-737-3257
  • Fax: 903-737-3375
Mailing address:
  • Phone: 903-737-3257
  • Fax: 903-737-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ANDREW C KNIZLEY
Title or Position: CEO
Credential:
Phone: 903-737-3205