Provider Demographics
NPI:1043090160
Name:EGH GROUP LLC
Entity Type:Organization
Organization Name:EGH GROUP LLC
Other - Org Name:INTERIM HEALTHCARE OF WHEAT RIDGE CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-542-6080
Mailing Address - Street 1:3705 KIPLING ST UNIT 202
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-5792
Mailing Address - Country:US
Mailing Address - Phone:720-542-7744
Mailing Address - Fax:
Practice Address - Street 1:3705 KIPLING ST UNIT 202
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5792
Practice Address - Country:US
Practice Address - Phone:720-540-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health