MEDICARE: ESSENCE HOME CARE, 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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730912783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE HOME CARE, LLC

Provider Business Mailing Address
First Line	:	730 PEACHTREE ST NE STE 570
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1244
Country	:	US
Telephone Number	:	770-696-3356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 SPRING CRK SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-2413
Country	:	US
Telephone Number	:	404-274-4040
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMIN
Name	:	DARNELL K COLEMAN
Credential	:
Telephone Number	:	404-274-4040

Provider Enumeration Date	:	08/24/2024
Last Update Date	:	08/24/2024

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