Elq LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELQ LLC

Practice address

4228 E Kiowa St
Phoenix, AZ 85044-1906

Phone

(480) 910-1684

NPI assigned

Aug 16, 2023

Organization subpart

Yes

Parent organization

ELQ LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elaine D Hickman, BSHA

Title

Manager/ Administrator

Phone

(480) 910-1684

Specialties & licenses 1

Addresses

Other names 2

• VINTAGE WEST ASSISTED CARE Doing business as
• Vintage East Assisted Care Doing business as

Part of

Elq LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1003699844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 E KIOWA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441906",
            "telephone_number": "480-910-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 E KIOWA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441906",
            "telephone_number": "480-910-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELQ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELQ LLC",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "480-910-1684",
        "authorized_official_credential": "BSHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VINTAGE WEST ASSISTED CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VINTAGE WEST ASSISTED CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vintage East Assisted Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Elms, PT
• Mohamed Elmubarak, RPH
• Carol Jean Elnicky, MD
• Galina Elo
• Amanda Elpusan
• Wael Elraghy
• Mona Fouad Elsakka, MD
• Lisa Elizabeth Elsbecker, LAC
• Angelina Elsee
• Mohammed Abdelmoniem Elseed, B.D.S., D.M.D., M.S.

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.