MEDICARE: ESSENTIAL HEALTHCARE SERVICES, INC

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	251E00000X	Home Health Agency	1851045	OH

General Provider Information

NPI Number	:	1386870236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL HEALTHCARE SERVICES, INC

Provider Business Mailing Address
First Line	:	3691 LEE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5145
Country	:	US
Telephone Number	:	216-283-4444
Fax Number	:	216-283-0445

Provider Business Practice Location Address
First Line	:	3691 LEE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-5145
Country	:	US
Telephone Number	:	216-283-4444
Fax Number	:	216-283-0445

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MRS. ANDRETHA NADETTE WHITE-HUNTER
Credential	:	RN
Telephone Number	:	216-283-4444

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	09/13/2016

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