The Ekg Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA6561 Issued in AZ

Legal business name

THE EKG GROUP LLC

Doing business as

Evergreen Home Health

Practice address

14819 N Cave Creek Rd
Suite 18
Phoenix, AZ 85032-4909

Phone

(602) 688-8648

Fax

(602) 218-4331

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Wong Garcia, RN

Title

Administrator

Phone

(602) 617-6728

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Home Health Doing business as

Locations

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1114347119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14819 N CAVE CREEK RD",
            "address_2": "SUITE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324909",
            "telephone_number": "602-688-8648",
            "fax_number": "602-218-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14819 N CAVE CREEK RD",
            "address_2": "SUITE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324909",
            "telephone_number": "602-688-8648",
            "fax_number": "602-218-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EKG GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "WONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-617-6728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA6561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.