Ec Martinez Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

036-03-002-1 Issued in GA

Legal business name

EC MARTINEZ OPERATIONS, LLC

Practice address

515 The Pass
Martinez, GA 30907-2972

Phone

(706) 855-6565

Fax

(706) 854-1394

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Robin L. Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Martinez Doing business as

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1124456710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 THE PASS",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072972",
            "telephone_number": "706-855-6565",
            "fax_number": "706-854-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC MARTINEZ OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "036-03-002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Martinez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly P Duckworth, RPH
• Lisa A Duckworth, P.T.
• Sandra Jean Dunn Anderson, DC
• Heather Dutton
• Sara L Dyer, D.M.D
• Alice Renee Edwards-Yarima, CNA
• Cherisse M Edwards, PHARMD
• Gregory C. Edwards, PT, DPT, CEEAA
• Esther Ehuie
• Amira El-Sherbeny, RPH

• Assisted Living Facility in Martinez, GA
• Providers in Martinez, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.