Provider Demographics
NPI:1942241344
Name:ESSLING'S HOMES PLUS INC
Entity type:Organization
Organization Name:ESSLING'S HOMES PLUS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSLING CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-270-5527
Mailing Address - Street 1:2187 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-5668
Mailing Address - Country:US
Mailing Address - Phone:651-735-7259
Mailing Address - Fax:651-730-1667
Practice Address - Street 1:1801 GERVAIS AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-2158
Practice Address - Country:US
Practice Address - Phone:651-270-5527
Practice Address - Fax:651-730-1667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330643251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1978533OtherSTATE IDENTIFICTION NUMBE
MN=========OtherFEDERAL TAX IDENTIFICATIO