Healthcare Provider Details

I. General information

NPI: 1013855808
Provider Name (Legal Business Name): EREMUS HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W MYRTLE AVE
PHOENIX AZ
85021-8656
US

IV. Provider business mailing address

1401 W MYRTLE AVE
PHOENIX AZ
85021-8656
US

V. Phone/Fax

Practice location:
  • Phone: 602-748-3650
  • Fax:
Mailing address:
  • Phone: 602-748-3650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL ROBERT MARTINEZ JR.
Title or Position: MANAGING MEMBER
Credential:
Phone: 602-748-3650