1851632491 NPI number — ECAREAMERICA

Table of content: (NPI 1851632491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851632491 NPI number — ECAREAMERICA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ECAREAMERICA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NOWCARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851632491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 118
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSONVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37077-0118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-822-2232
Provider Business Mailing Address Fax Number:
615-822-2234

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
293 NEW SHACKLE ISLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37075-2349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-822-2232
Provider Business Practice Location Address Fax Number:
615-822-2234
Provider Enumeration Date:
03/06/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FINNEY
Authorized Official First Name:
TABITHA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
615-516-4016

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  30394 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)