Provider Demographics
NPI:1164096707
Name:ECARE HOSPICE
Entity Type:Organization
Organization Name:ECARE HOSPICE
Other - Org Name:ECARE EL BAIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MANAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEHADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-882-4480
Mailing Address - Street 1:5820 N CANTON CENTER RD STE 183
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2651
Mailing Address - Country:US
Mailing Address - Phone:877-882-4480
Mailing Address - Fax:248-800-7272
Practice Address - Street 1:5840 N CANTON CENTER RD STE 267
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2684
Practice Address - Country:US
Practice Address - Phone:877-882-4480
Practice Address - Fax:248-800-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child