Essence of Wellness LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ESSENCE OF WELLNESS LLC

Practice address

11630 W Bloomfield Rd
El Mirage, AZ 85335-3915

Phone

(602) 622-9594

NPI assigned

May 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Quajerah M Charles

Title

Administrator

Phone

(602) 622-9594

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerleel Hartwell

  • Addiction (Substance Use Disorder) Counselor
  • El Mirage, AZ
  • NPI 1841935236
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1023753258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 216TH LN",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268030",
            "telephone_number": "602-620-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 W BLOOMFIELD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353915",
            "telephone_number": "602-622-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "QUAJERAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-622-9594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Mirage Group Home LLC
• Stacie Lynn Elliott, RPH
• Empaljit Singh Gill, PLLC
• Amorita Enyioma
• Kathleen L Eppich, LPN
• Christopher Ewing, PHARMD
• Julio Joel Feliciano Sr., PA
• First Choice Home Care
• Abbrea Franklin
• Freetown Health Group, LLC

• Mental Illness Community Based Residential Treatment Facility in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.