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Contact Information

ESSENTIAL EMBODIMENT LLC
120 W MAIN ST
SUITE D
CEDAREDGE, CO81413
 Phone: 970-808-1122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Infusion

251F00000X
Indicates primary specialty

NPI Profile & details for ESSENTIAL EMBODIMENT LLC

NPI # 1245766716
LBN Legal business name ESSENTIAL EMBODIMENT LLC
Authorized official TINS SWOFFER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2017
Last updated 05/03/2017 - About 9 years ago
Identifiers
CO License # 12181974
CO License # 4272017
CO Medicaid 4272017
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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