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NPI Code Detail

MEDICARE: ESSENTIAL NEEDS HOMECARE

MEDICARE: ESSENTIAL NEEDS HOMECARE
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
1253Z00000XIn Home Supportive Care Agency2289-3837WV

General Provider Information

NPI Number : 1821424755
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL NEEDS HOMECARE
Provider Business Mailing Address
First Line : 2019 PLEASANT VALLEY RD
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-9295
Country : US
Telephone Number : 304-818-3687
Fax Number : 304-816-3737
Provider Business Practice Location Address
First Line : 16 MOUNTAIN PARK DR
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-8992
Country : US
Telephone Number : 304-816-3687
Fax Number : 304-816-3737
Authorized Official
Title or Position : OWNER/SUPERVISOR
Name : MRS. NANCY J. COLLINS
Credential : RN
Telephone Number : 304-816-3687
Provider Enumeration Date : 09/24/2013
Last Update Date : 03/15/2024

Similar Medicare Providers

1629921077 — BRADY THOMPSON
Practice Location Address:
16 MOUNTAIN PARK DR
FAIRMONT, WV
26554-8992
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1538012984 — AMANDA HEFLIN
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1265385611 — BRISTOL GRAY
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1871869081 — KARRIE LYNN HAMRICK
Practice Location Address:
10 MOUNTAIN PARK DR
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26554-8992
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Practice Fax: 304-363-7174
1851708382 — ESSENTIAL NEEDS HOMECARE
Practice Location Address:
16 MOUNTAIN PARK DR
FAIRMONT, WV
26554-8992
Practice Phone: 304-816-3687
Practice Fax: 304-816-3737
1043759368 — ESSENTIAL NEEDS HOMECARE
Practice Location Address:
16 MOUNTAIN PARK DR
FAIRMONT, WV
26554-8992
Practice Phone: 304-816-3687
Practice Fax: 304-816-3737

Directions to “ESSENTIAL NEEDS HOMECARE ” Practice Location

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