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Contact Information

ECSTATIC HOME CARE
2200 FULLER COURT
SUITE 805B
ANN ARBOR, MI48105
 Phone: 734-945-9553
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ECSTATIC HOME CARE

NPI Number 1053752717
LBN Legal business name ECSTATIC HOME CARE
Authorized official THAI LE - (PRINCIPAL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2013
Last updated 07/30/2013 - About 13 years ago
Identifiers
MI License # 4704277024
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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