MEDICARE: ESSENTIAL HEALTH SYSTEMS, 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	251E00000X	Home Health Agency	008292	TX
2	251E00000X	Home Health 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	:	1578555017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL HEALTH SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 864
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-9998
Country	:	US
Telephone Number	:	903-482-6400
Fax Number	:	903-482-6403

Provider Business Practice Location Address
First Line	:	250 E. MARSHALL
Second Line	:
City	:	VAN ALSTYNE
State	:	TX
Zip	:	75495-9998
Country	:	US
Telephone Number	:	903-482-6400
Fax Number	:	903-482-6403

Authorized Official
Title or Position	:	MANAGER, ADMINISTRATOR
Name	:	JACKIE C BROWNE
Credential	:
Telephone Number	:	918-465-2626

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/21/2012

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Directions to “ESSENTIAL HEALTH SYSTEMS, LLC ” Practice Location

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