MEDICARE: ESCORT HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124798624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESCORT HOME CARE LLC

Provider Business Mailing Address
First Line	:	4781 E GETTYSBURG AVE STE 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-1814
Country	:	US
Telephone Number	:	559-578-3850
Fax Number	:

Provider Business Practice Location Address
First Line	:	4781 E GETTYSBURG AVE STE 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-1814
Country	:	US
Telephone Number	:	774-253-2935
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. SARAH MENSAH
Credential	:	PHARMD
Telephone Number	:	774-253-2935

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	10/12/2023

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Directions to “ESCORT HOME CARE LLC ” Practice Location

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