MEDICARE: ECHO PLUS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	0121111	IA
2	251C00000X	Developmentally Disabled Services Day Training Agency	0121111	IA
3	251S00000X	Community/Behavioral Health Agency	0121111	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841354834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHO PLUS INC

Provider Business Mailing Address
First Line	:	1808 JACKSON AVE
Second Line	:
City	:	SPIRIT LAKE
State	:	IA
Zip	:	51360-1248
Country	:	US
Telephone Number	:	712-336-4052
Fax Number	:	712-336-4052

Provider Business Practice Location Address
First Line	:	1808 JACKSON AVE
Second Line	:
City	:	SPIRIT LAKE
State	:	IA
Zip	:	51360-1248
Country	:	US
Telephone Number	:	712-336-4052
Fax Number	:	712-336-4052

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DANIEL JOHN YOUNGBLUT
Credential	:
Telephone Number	:	712-336-4052

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	09/11/2025

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Directions to “ECHO PLUS INC ” Practice Location

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