Provider Demographics
NPI:1356842793
Name:EC OPCO IRVING, LLC
Entity Type:Organization
Organization Name:EC OPCO IRVING, LLC
Other - Org Name:ELMCROFT OF IRVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER/ECLIPSE (MANAGEMENT CO.)
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:W
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-337-3922
Mailing Address - Street 1:500 N HURSTBOURNE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3301
Mailing Address - Country:US
Mailing Address - Phone:971-213-4234
Mailing Address - Fax:866-246-9514
Practice Address - Street 1:2425 TEXAS DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7027
Practice Address - Country:US
Practice Address - Phone:972-659-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility