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General NPI Number Information
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NPI Number | 1912898453
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Entity Type | Organization
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Legal Business Name | ESRV ENHANCED CARE SERVICES INC
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3039 BRINKLEY ROAD UNIT T2
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City | TEMPLE HILLS
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State | MD
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Zip | 20748
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Country | US
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Telephone | 240-350-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 3039 BRINKLEY ROAD UNIT T2
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City | TEMPLE HILLS
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State | MD
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Zip | 20748
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Country | US
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Telephone | 240-350-8861
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA A WHISENTON
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Credential |
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Telephone | 240-350-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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