Provider Demographics
NPI:1578311700
Name:ESSENTIAL 3 HOME CARE LLC
Entity type:Organization
Organization Name:ESSENTIAL 3 HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:EACRET
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:931-265-6982
Mailing Address - Street 1:1057 STAR POINT RD
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556-2127
Mailing Address - Country:US
Mailing Address - Phone:931-265-6982
Mailing Address - Fax:
Practice Address - Street 1:1057 STAR POINT RD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556-2127
Practice Address - Country:US
Practice Address - Phone:931-265-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care