Healthcare Provider Details

I. General information

NPI: 1508465790
Provider Name (Legal Business Name): ECB HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 04/22/2022
Certification Date: 04/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15728 WOODRUFF AVE
BELLFLOWER CA
90706-4018
US

IV. Provider business mailing address

15728 WOODRUFF AVE
BELLFLOWER CA
90706-4018
US

V. Phone/Fax

Practice location:
  • Phone: 562-739-3890
  • Fax:
Mailing address:
  • Phone: 562-739-3890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ELVIA CAMPOS
Title or Position: OWNER
Credential:
Phone: 562-739-3890