MEDICARE: ESSENCE RESIDENTIAL CARE HOME 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1710824065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE RESIDENTIAL CARE HOME LLC

Provider Business Mailing Address
First Line	:	1510 N PLAZA DE LIRIOS
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-1600
Country	:	US
Telephone Number	:	520-308-4688
Fax Number	:	520-333-2898

Provider Business Practice Location Address
First Line	:	1510 N PLAZA DE LIRIOS
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-1600
Country	:	US
Telephone Number	:	520-308-4688
Fax Number	:	520-333-2898

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEPHEN KARUGA
Credential	:	FNP-BC
Telephone Number	:	978-828-7627

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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