Organization Active NPI

Essential Living Home Care LLC

  • Home Health Agency
  • Knightdale, NC
National Provider Identifier
1306458278
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESSENTIAL LIVING HOME CARE LLC
Practice address
7633 Knightdale Blvd Ste 102
Knightdale, NC 27545-9015
Phone
(919) 454-1764
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Parris Rascoe Solomon
Title
Agency Director
Phone
(919) 454-1764

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

7633 Knightdale Blvd Ste 102
Knightdale, NC 27545-9015

Mailing address

1236 Alemany St
Morrisville, NC 27560-7385
Phone (919) 454-1764

National Provider Directory

National Provider Directory

Locations

7633 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 454-1764

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1306458278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 ALEMANY ST",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607385",
            "telephone_number": "919-454-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 KNIGHTDALE BLVD STE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459015",
            "telephone_number": "919-454-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL LIVING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "PARRIS",
        "authorized_official_middle_name": "RASCOE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-454-1764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.