Essential Home Care Service

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ESSENTIAL HOME CARE SERVICE

Practice address

6S082 Park Meadow Dr Apt 8E
Naperville, IL 60540-3824

Phone

(803) 448-5452

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Lee Sime B. Formento

Title

Ceo

Phone

(803) 448-5452

Specialties & licenses 1

Addresses

Other names 1

• Essential Home Care Doing business as

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1033995642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6S082 PARK MEADOW DR APT 8E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403824",
            "telephone_number": "803-448-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6S082 PARK MEADOW DR APT 8E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403824",
            "telephone_number": "803-448-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "FORMENTO",
        "authorized_official_first_name": "LEE SIME",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-448-5452"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Naperville, IL
• Providers in Naperville, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.