Healthcare Provider Details

I. General information

NPI: 1992920334
Provider Name (Legal Business Name): ECLATE HEALTH CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 ELMBROOK DR STE 128
DALLAS TX
75247-4067
US

IV. Provider business mailing address

8204 ELMBROOK DR STE 128
DALLAS TX
75247-4067
US

V. Phone/Fax

Practice location:
  • Phone: 972-222-2098
  • Fax: 972-222-7982
Mailing address:
  • Phone: 832-709-7530
  • Fax: 972-222-7982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011521
License Number StateTX

VIII. Authorized Official

Name: FERDINAND CAPO-CHICHI
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-222-2098