MEDICARE: ECARE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	208D00000X	General Practice Physician
3	251F00000X	Home Infusion Agency
4	251G00000X	Community Based Hospice Care Agency
5	251V00000X	Voluntary or Charitable Agency
6	261Q00000X	Clinic/Center
7	261QH0100X	Health Service Clinic/Center
8	261QM1300X	Multi-Specialty Clinic/Center
9	261QP1100X	Podiatric Clinic/Center
10	261QP2000X	Physical Therapy Clinic/Center
11	261QP2300X	Primary Care Clinic/Center
12	261QR1100X	Research Clinic/Center
13	261QU0200X	Urgent Care Clinic/Center
14	385HR2055X	Child Mental Illness Respite Care
15	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1134796824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECARE CLINIC

Provider Business Mailing Address
First Line	:	5820 N CANTON CENTER RD STE 180
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2680
Country	:	US
Telephone Number	:	877-882-4480
Fax Number	:	248-800-7272

Provider Business Practice Location Address
First Line	:	5820 N CANTON CENTER RD STE 180
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2680
Country	:	US
Telephone Number	:	877-882-4480
Fax Number	:	248-800-7272

Authorized Official
Title or Position	:	ADMIN
Name	:	MANAL CCCCCCC
Credential	:
Telephone Number	:	877-882-4480

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	10/03/2023

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Directions to “ECARE CLINIC ” Practice Location

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