- Enrollment id
- O20150624000051
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1639568074
- Multiple npi flag
- N
- Ccn
- 059722
- Associate id
- 3577874163
- Organization name
- HEALTH ESSENTIALS RESOURCE & SERVICES INC
- Doing business as name
- ESSENTIALS HOME HEALTH
- Incorporation date
- 2014-04-08
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 24301 SOUTHLAND DR
- Address line 2
- STE 611
- City
- HAYWARD
- State
- CA
- Zip code
- 945451554