# ESSENTIAL HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881334076
- **Authorized official:** MAI LEE VANG (OWNER)
- **Authorized official phone:** (612) 456-4565

## Contact information

- **Practice address:** 2345 RICE ST \# 173, ROSEVILLE, MN 55113-3741
- **Practice address phone:** (612) 456-4565
- **Practice address fax:** (651) 846-4517
- **Mailing address:** 2345 RICE ST \# 173, ROSEVILLE, MN 55113-3741
- **Mailing address phone:** (612) 456-4565
- **Mailing address fax:** (651) 846-4517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 03/25/2024