Healthcare Provider Details

I. General information

NPI: 1922937135
Provider Name (Legal Business Name): ECS-03 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MAIN ST
MANCHESTER CT
06040-5101
US

IV. Provider business mailing address

750 MAIN ST
MANCHESTER CT
06040-5101
US

V. Phone/Fax

Practice location:
  • Phone: 860-643-9500
  • Fax: 860-643-5991
Mailing address:
  • Phone: 860-643-9500
  • Fax: 860-643-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL TAGGARD
Title or Position: OWNER
Credential:
Phone: 860-643-9500