Provider Demographics
NPI:1871477844
Name:ESSENTIAL CARE PLUS PLLC
Entity type:Organization
Organization Name:ESSENTIAL CARE PLUS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:336-328-7512
Mailing Address - Street 1:1105 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6774
Mailing Address - Country:US
Mailing Address - Phone:336-707-3058
Mailing Address - Fax:
Practice Address - Street 1:1105 E WENDOVER AVE STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6767
Practice Address - Country:US
Practice Address - Phone:336-707-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care