Provider Demographics
NPI:1053864900
Name:EESHA EXCLUSIVE HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:EESHA EXCLUSIVE HOME HEALTH AGENCY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-392-9412
Mailing Address - Street 1:851 TRAFALGAR CT STE 126E
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7423
Mailing Address - Country:US
Mailing Address - Phone:407-545-4951
Mailing Address - Fax:407-974-3051
Practice Address - Street 1:5323 MILLENIA LK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3395
Practice Address - Country:US
Practice Address - Phone:407-325-9320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health