Provider Demographics
NPI:1164135109
Name:ETCARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ETCARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-991-8919
Mailing Address - Street 1:6363 SEVEN SPRINGS BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-1666
Mailing Address - Country:US
Mailing Address - Phone:786-991-8919
Mailing Address - Fax:
Practice Address - Street 1:6050 SHERWOOD GLEN WAY APT 6
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6964
Practice Address - Country:US
Practice Address - Phone:786-991-8919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health