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NPI Code Detail

MEDICARE: ESC - NGH, LP

MEDICARE: ESC - NGH, LP
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
1310400000XAssisted Living Facility

Other Identifiers

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

General Provider Information

NPI Number : 1356553994
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESC - NGH, LP
Provider Business Mailing Address
First Line : 111 WESTWOOD PL STE 400
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5057
Country : US
Telephone Number : 615-221-2250
Fax Number :
Provider Business Practice Location Address
First Line : 4045 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75093-5891
Country : US
Telephone Number : 972-519-0480
Fax Number : 972-519-9765
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : JOANNE K LESKOWICZ
Credential :
Telephone Number : 414-918-5000
Provider Enumeration Date : 05/04/2007
Last Update Date : 10/22/2020

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