Provider Demographics
NPI:1134110497
Name:E-HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:E-HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:812-248-9744
Mailing Address - Street 1:4711 COMMERCE PASS STE A
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1356
Mailing Address - Country:US
Mailing Address - Phone:812-248-9744
Mailing Address - Fax:812-248-9788
Practice Address - Street 1:4711 COMMERCE PASS STE A
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1356
Practice Address - Country:US
Practice Address - Phone:812-248-9744
Practice Address - Fax:812-248-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332BX2000X332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000217045OtherANTHEM
KY1146146OtherPASSPORT HEALTH PLAN
KY7100013610Medicaid
IN200215540AMedicaid
IN4292590001Medicare NSC