Healthcare Provider Details

I. General information

NPI: 1891602512
Provider Name (Legal Business Name): EPIC CARE FACILITIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 E 191ST ST UNIT 1570
EUCLID OH
44117-1302
US

IV. Provider business mailing address

1150 BRANDON RD
CLEVELAND HTS OH
44112-3632
US

V. Phone/Fax

Practice location:
  • Phone: 216-832-9030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN RUCKER
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential:
Phone: 216-832-9030