Organization
ESSENTIAL HOME HEALTH, LLC
Active
Other names
Phoenix Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SCOTT HERMAN (PRESIDENT & SECRETARY)
(316) 688-5511
Entity
Organization
Contact information
Practice address
6803 W 64TH ST STE 101, OVERLAND PARK, KS 66202-4128
(913) 384-2273
(913) 384-0688
Mailing address
6803 W 64TH ST STE 101, OVERLAND PARK, KS 66202-4128
(913) 384-2273
(913) 384-0688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178077
MEDICARE NUMBER
—
05
—
200425960B
—
KS
Enumeration date
06/13/2006
Last updated
12/11/2021
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