Healthcare Provider Details

I. General information

NPI: 1609394949
Provider Name (Legal Business Name): ESSENCE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 09/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 LIBERTY ST
CHESAPEAKE VA
23324-2634
US

IV. Provider business mailing address

607 LIBERTY ST
CHESAPEAKE VA
23324-2634
US

V. Phone/Fax

Practice location:
  • Phone: 757-502-8890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHCO-1731
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHCO-1731
License Number StateVA

VIII. Authorized Official

Name: JAMES SCOTT JR.
Title or Position: OWNER
Credential:
Phone: 757-502-8890