Healthcare Provider Details

I. General information

NPI: 1346117546
Provider Name (Legal Business Name): ECOLOCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 KAITLYN DR
ETNA OH
43062-7115
US

IV. Provider business mailing address

947 E JOHNSTOWN RD # 162
GAHANNA OH
43230-1851
US

V. Phone/Fax

Practice location:
  • Phone: 614-440-7330
  • Fax:
Mailing address:
  • Phone: 614-440-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CATHY L HOWARD
Title or Position: DOO
Credential:
Phone: 614-557-7997