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

General Provider Information

NPI Number	:	1578254801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	16138 MONTEREY GREENS CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3788
Country	:	US
Telephone Number	:	386-334-1476
Fax Number	:	813-322-2034

Provider Business Practice Location Address
First Line	:	13506 N ROME AVE STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-2027
Country	:	US
Telephone Number	:	386-334-1476
Fax Number	:	813-322-2034

Authorized Official
Title or Position	:	CEO
Name	:	DANIELE LAWANNA JACKSON
Credential	:	CEO
Telephone Number	:	386-334-1476

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	03/05/2026

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