Provider Demographics
NPI:1801432059
Name:ELECARELLC
Entity type:Organization
Organization Name:ELECARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-389-1064
Mailing Address - Street 1:9434 SELBY PL
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-3416
Mailing Address - Country:US
Mailing Address - Phone:757-389-1064
Mailing Address - Fax:
Practice Address - Street 1:555 KEYSTONE AVE APT 2
Practice Address - Street 2:
Practice Address - City:PECKVILLE
Practice Address - State:PA
Practice Address - Zip Code:18452-1639
Practice Address - Country:US
Practice Address - Phone:757-389-1064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health