1780935403 NPI number — ECS HEALTH CARE AGENCY AND HOME HEALTH SERVICES P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780935403 NPI number — ECS HEALTH CARE AGENCY AND HOME HEALTH SERVICES P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ECS HEALTH CARE AGENCY AND HOME HEALTH SERVICES P.C.
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:
Provider Other Organization Name Type Code:
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:
1780935403
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2338 ADAMSWAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60502-9070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-800-4292
Provider Business Mailing Address Fax Number:
630-800-4370

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2015 L. RTE. 34
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OSWEGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60573-8641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-800-4292
Provider Business Practice Location Address Fax Number:
630-800-4370
Provider Enumeration Date:
09/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SADAMA
Authorized Official First Name:
EDITHA
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
ADMINISTRATOR RN
Authorized Official Telephone Number:
630-881-7127

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1011571 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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