=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407913155
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ESSENTIAL CARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2007
-----------------------------------------------------
Last Update Date | 09/13/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 WOLF PT
-----------------------------------------------------
City | BATTLEBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27809-9815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-212-5400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 WOLF PT
-----------------------------------------------------
City | BATTLEBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27809-9815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-212-5400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. TAMARIS CRESSMAN BATTS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-557-0603
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC3626
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------