Provider Demographics
NPI:1265278261
Name:EC HOME CARE LLC
Entity type:Organization
Organization Name:EC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:GERARDO
Authorized Official - Last Name:CHAIREZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-342-3096
Mailing Address - Street 1:3268 PERUVIAN PASO
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-1011
Mailing Address - Country:US
Mailing Address - Phone:915-342-3096
Mailing Address - Fax:
Practice Address - Street 1:3268 PERUVIAN PASO
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-1011
Practice Address - Country:US
Practice Address - Phone:915-342-3096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home