Provider Demographics
NPI:1356579858
Name:ECO HEALTHCARE SOLUTIONS CORP
Entity type:Organization
Organization Name:ECO HEALTHCARE SOLUTIONS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:281-900-1894
Mailing Address - Street 1:19901 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 135
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6538
Mailing Address - Country:US
Mailing Address - Phone:281-341-8220
Mailing Address - Fax:281-341-8222
Practice Address - Street 1:19901 SOUTHWEST FWY
Practice Address - Street 2:SUITE 135
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6538
Practice Address - Country:US
Practice Address - Phone:281-341-8220
Practice Address - Fax:281-341-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6302050001Medicare NSC