Provider Demographics
NPI:1386523306
Name:ECS-01 LLC
Entity type:Organization
Organization Name:ECS-01 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:866-645-9500
Mailing Address - Street 1:750 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5101
Mailing Address - Country:US
Mailing Address - Phone:866-645-9500
Mailing Address - Fax:
Practice Address - Street 1:31 KINGSBURY AVE
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06040
Practice Address - Country:US
Practice Address - Phone:866-645-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAGGARD HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care