Healthcare Provider Details

I. General information

NPI: 1386523306
Provider Name (Legal Business Name): ECS-01 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 KINGSBURY AVE
TOLLAND CT
06040
US

IV. Provider business mailing address

750 MAIN ST
MANCHESTER CT
06040-5101
US

V. Phone/Fax

Practice location:
  • Phone: 866-645-9500
  • Fax:
Mailing address:
  • Phone: 866-645-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL TAGGARD
Title or Position: OWNER
Credential: DPT
Phone: 866-645-9500