Provider Demographics
NPI:1073759007
Name:EKEH LLC
Entity Type:Organization
Organization Name:EKEH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:KELECHI
Authorized Official - Last Name:EKEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-472-0708
Mailing Address - Street 1:7040 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-3538
Mailing Address - Country:US
Mailing Address - Phone:219-472-0708
Mailing Address - Fax:219-472-0044
Practice Address - Street 1:7040 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3538
Practice Address - Country:US
Practice Address - Phone:219-472-0708
Practice Address - Fax:219-472-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0131070630332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies