Common use of Contractor Information Clause in Contracts

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the "Contractor") New Essence Healthcare Promesa Home Health Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (Street, City, State, ZIP Code) ▇▇▇▇ ▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇▇▇▇) ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 10/01/2024 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202609/30/2029 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Amoye Healthcare Services Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ZIP Code) ▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ . ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 06/01/2024 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202605/31/2027 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncCitica Home Health, LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Southern Cross Home Health 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 01/01/2023 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202612/31/2025 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Acredable Healthcare IncServices LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇Arlington, TX 76018 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇1245623323 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 8/1/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 20261/31/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncBlackCasino, LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Daybreak Adult Day Care 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇, ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 01/01/2021 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202610/31/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Day Activity and Health Services (PHC/FC/CASDAHS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAMOROSA HEALTHCARE SERVICES LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026OPEN 1.10 Contract Type Primary Home CarePRIMARY HOME CARE/Family CareFAMILY CARE/Community Attendant Services COMMUNITY ATTENDANT SERVICES (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncDe Los ▇▇▇▇▇▇ Primary Home Care Inc #2 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ Code) ▇▇▇) . ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇, ▇▇, ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 18622002238 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 06/01/2023 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202605/31/2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the "Contractor") New Essence Healthcare IncFriendly Care Primary Services LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Friendly Care Primary Services 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 02/01/2025 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202601/31/2028 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncStamd Health Care Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. No.▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇, ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March May 1, 2023 2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare ▇▇▇▇▇ Health Care Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ Code) ▇▇▇ ▇. ▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March September 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28August 31, 2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncCare Health Services Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202601/31/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncNurses Unlimited Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. No.▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇PO Box 4534, ▇▇ ▇▇▇▇▇Odessa, TX 79760 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March June 1, 2023 2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services with Services Responsibility Option (PHC/FC/CAS-SRO)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncPriority Home Health Care Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ Code) ▇▇▇) ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇, ▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202601/31/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAssurance Home Health Services, Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇. ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 05/01/2021 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202604/30/2024 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services Care (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare Smart Choice Caregivers Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 03/01/2021 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202601/01/2025 1.10 Contract Type Primary Home Care/Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncTX Newlife Home Health Care LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. No.▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ , ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇TX 75454 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 09/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202602/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncDedicare Home Health LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March September 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28August 31, 2026 1.10 Contract Type Primary Home Care/, Family Care/, Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Glorious Healthcare IncServices LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 06/01/2022 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202605/31/2025 1.10 Contract Type Primary Home Health Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare Inc▇▇▇▇▇▇ Home Health Care LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (Street, City, State, ZIP Code) ▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇▇ ▇, ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncRasha Home Health Services Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. No.▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March June 1, 2023 2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAngelical Home Health, Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇, ▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March August 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28July 31, 20262028 1.10 Contract Type Primary Home Care/Care/ Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncVentura Care Services LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇@@▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇Mission, TX 78572 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 20262/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncVITALIS HOME HEALTH LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇APT 1428, ▇▇ ▇▇▇▇▇FRISCO, TX 75035 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026OPEN 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare Dor-An's Home Health Service, Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇@▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ZIP Code) ▇▇▇ ▇▇▇▇) . ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇. Ste B Robstown, ▇▇ ▇▇▇▇▇TX 78380 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 05/01/2024 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202604/30/2029 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAmana Home Care, LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 06/01/2021 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202605/31/2024 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare Inc▇▇▇▇▇▇ Healing Community Care, LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ . ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇TX 76036 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March September 1, 2023 2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 20262023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)Services

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncGLADKIDS LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ Code) ▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇LN, ▇▇ ▇▇▇▇▇HOUSTON, TX 77083-7712 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026OPEN 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAll Things Enterprise, LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Assurance Home Health 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇#▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March June 1, 2023 2021 1.9 Contract Expiration Date (the "Expiration Date") February 28May 31, 20262024 1.10 Contract Type Primary Home Care/Care/ Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncAt Your Service Primary Home Care LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ , ▇▇▇ ▇▇▇▇, ▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March February 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") February 28January 31, 2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncBCP Health Care Incorporated 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇@▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇-) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 04/01/2021 1.9 Contract Expiration Date (the "Expiration Date") February 28, 202604/01/2026 1.10 Contract Type Primary Home Care/Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) New Essence Healthcare IncCOSMEC HEALTH CARE RESOURCE INC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. ▇▇▇-▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇▇▇ ▇▇, ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") March 1, 2023 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") February 28, 2026Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract