MEDICARE: EREMUS HEALTH GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1013855808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EREMUS HEALTH GROUP LLC

Provider Business Mailing Address
First Line	:	1401 W MYRTLE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8656
Country	:	US
Telephone Number	:	602-748-3650
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 W MYRTLE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8656
Country	:	US
Telephone Number	:	602-748-3650
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. DANIEL ROBERT MARTINEZ JR.
Credential	:
Telephone Number	:	602-748-3650

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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