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General NPI Number Information
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NPI Number | 1255209748
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Entity Type | Organization
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Legal Business Name | ESSENCE RESIDENTIAL CARE FACILITES
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 446 TURNEY RD
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City | BEDFORD
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State | OH
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Zip | 44146-3332
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Country | US
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Telephone | 216-630-3037
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Fax | 440-252-5066
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Provider Business Mailing Address
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Address Line | 708 BROADWAY AVE
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City | BEDFORD
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State | OH
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Zip | 44146-3642
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Country | US
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Telephone | 216-630-3037
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Fax | 440-252-5066
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Authorized Official
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Title or Position | MANAGER
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Name | TIFFANY JOHNSON
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Credential |
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Telephone | 216-630-3037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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