Provider Demographics
NPI:1730620832
Name:ESSENTIAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ESSENTIAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANISA
Authorized Official - Middle Name:ABDULKADIR
Authorized Official - Last Name:ESSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-385-3625
Mailing Address - Street 1:1201 E LAKE ST STE 1E
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1852
Mailing Address - Country:US
Mailing Address - Phone:612-385-3625
Mailing Address - Fax:612-661-1433
Practice Address - Street 1:1201 E LAKE ST STE 1E
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1852
Practice Address - Country:US
Practice Address - Phone:612-385-3625
Practice Address - Fax:612-379-4693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN380902251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health