Provider Demographics
NPI:1780935403
Name:ECS HEALTH CARE AGENCY AND HOME HEALTH SERVICES P.C.
Entity type:Organization
Organization Name:ECS HEALTH CARE AGENCY AND HOME HEALTH SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SADAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-881-7127
Mailing Address - Street 1:2338 ADAMSWAY DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9070
Mailing Address - Country:US
Mailing Address - Phone:630-800-4292
Mailing Address - Fax:630-800-4370
Practice Address - Street 1:2015 L. RTE. 34
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60573-8641
Practice Address - Country:US
Practice Address - Phone:630-800-4292
Practice Address - Fax:630-800-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011571251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health