Essencia Home Care and Medical Staffing Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ESSENCIA HOME CARE AND MEDICAL STAFFING INC

Practice address

1235 W Jarvis Ave Apt 1
Chicago, IL 60626-2093

Phone

(773) 218-2388

Fax

(872) 282-0570

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Fred Allegado

Title

Ceo

Phone

(773) 218-2388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ESSENCIA HEALTHCARE INC Former legal business name

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255087284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W JARVIS AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262093",
            "telephone_number": "773-218-2388",
            "fax_number": "872-282-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W JARVIS AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262093",
            "telephone_number": "773-218-2388",
            "fax_number": "872-282-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCIA HOME CARE AND MEDICAL STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ALLEGADO",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-218-2388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIENTS PRIVATE INSURANCE",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENCIA HEALTHCARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, 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 21, 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.