Provider Demographics
NPI:1538957931
Name:ECHENRODE, XAVIER
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:
Last Name:ECHENRODE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:573 EAGLE WALK RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7233
Mailing Address - Country:US
Mailing Address - Phone:740-272-9508
Mailing Address - Fax:
Practice Address - Street 1:567 EAGLE WALK RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7233
Practice Address - Country:US
Practice Address - Phone:716-208-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child