Ej2Llc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EJ2LLC

Doing business as

Epicc Vascular Birmingham

Practice address

5021 Knoll View Cir
Hoover, AL 35244-8268

Phone

(205) 602-1506

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Edward Joseph Selleck

Title

President / Ceo

Phone

(205) 602-1506

Specialties & licenses 1

Addresses

Other names 1

• Epicc Vascular Birmingham Doing business as

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1316445182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 KNOLL VIEW CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352448268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 KNOLL VIEW CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352448268",
            "telephone_number": "205-602-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ2LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "SELLECK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "205-602-1506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epicc Vascular Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Edwards
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• Elite Senior Solutions LLC

• Nursing Care Agency in Hoover, AL
• Providers in Hoover, AL by specialty
• Nursing Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.