Ehc21 LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EHC21 LLC

Practice address

1751 Hover St # 66B4
Longmont, CO 80501-7181

Phone

(469) 237-5075

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Ryan Badon, PBT

Title

Ceo

Phone

(866) 253-9266

Specialties & licenses 1

Addresses

Other names 1

• KIVI Health Doing business as

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1811664337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST # 66B4",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "469-237-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST # 66B4",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "469-237-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHC21 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "BADON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-253-9266",
        "authorized_official_credential": "PBT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIVI Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Edwards-Goodbee, NP
• Chase Edwards, D.D.S.
• Jeanne Edwards
• Rachel Edwards
• Niquole Kelly Egan-Ramirez, ABOC
• Kristin Ehle-Parker, LPCC
• James Louis Ehrlich
• Maria L Ehrlich, RN
• Joshua David Ehrmantraut, DC
• Virginia E Eichorn, LAC, LMT

• Health Service Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.