Provider Demographics
NPI:1982094207
Name:ELDERCARE CORP
Entity Type:Organization
Organization Name:ELDERCARE CORP
Other - Org Name:ECHO HOSPICE OF OC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-576-3070
Mailing Address - Street 1:12680 HIGH BLUFF DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2232
Mailing Address - Country:US
Mailing Address - Phone:918-576-3070
Mailing Address - Fax:918-516-0609
Practice Address - Street 1:765 THE CITY DR S STE 440
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-6917
Practice Address - Country:US
Practice Address - Phone:949-472-3900
Practice Address - Fax:949-203-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-25
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty