Provider Demographics
NPI:1609760750
Name:ELLOCARE LLC
Entity type:Organization
Organization Name:ELLOCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH-RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C
Authorized Official - Phone:504-315-1265
Mailing Address - Street 1:4520 WICHERS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3134
Mailing Address - Country:US
Mailing Address - Phone:504-315-1265
Mailing Address - Fax:504-315-1266
Practice Address - Street 1:4520 WICHERS DR STE 201
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3134
Practice Address - Country:US
Practice Address - Phone:504-315-1265
Practice Address - Fax:504-315-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center