ENHANCE DME LLC (NPI# 1144519463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144519463 |
Entity Type | Organization |
Organization Name | ENHANCE DME LLC |
Practice Address |
1033 W Quinn Rd Pocatello ID 83202-2425 |
Practice Telephone | 2082334800 |
Practice Fax Number | 2082334887 |
Mailing Telephone | 2082334800 |
Mailing Fax Number | 2082334887 |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-07-12 |
Authorized Official Name | RICHARD W LEMON (OWNER/CEO) |
Authorized Official Telephone | 2082334800 |
Authorized Official Credential | MPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | STATE OF IDAHO BOARD OF PHARMACY DME | DME16016 | 01 |
Street Address |
1033 W QUINN RD |
City | POCATELLO |
State | ID |
Zip Code | 83202-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487646733 | Richard W Lemon | Physical Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2005-08-22 |
1295395903 | Sarah Denise Cairns | Physical Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2019-06-14 |
1588030290 | Jessica R Mooney | Physical Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2015-08-17 |
1376896019 | Ernestine Miller | Speech-Language Pathologist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2012-10-18 |
1245529569 | Meadowland Therapy Inc | Occupational Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2011-04-07 |
1982993937 | Venita Jill Petti | Occupational Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2011-03-30 |
1548569148 | Marlene Cameron | Physical Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2011-03-22 |
1235360074 | Brittany Ann Peterson | Occupational Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2009-07-28 |
1447324116 | Danny Rae Desfosses | Physical Therapist | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2006-11-17 |
1619050440 | Brace Place Ltd | Durable Medical Equipment & Medical Supplies | 1033 W Quinn Rd, Pocatello, ID 83202-2425 | 2006-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
Find all providers in zip 83202 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467649053 | Idaho Home Health & Hospice, Inc. | Durable Medical Equipment & Medical Supplies | 315 E Alameda Rd, Pocatello, ID 83201-3619 | 2007-09-27 |
1154430692 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1000 Pocatello Creek Road, Foothill Plaza, Pocatello, ID 83201-2999 | 2006-08-29 |
1144235268 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 905 Yellowstone Ave, Pocatello, ID 83201-4416 | 2006-07-29 |
1669428173 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 330 E Benton St, Pocatello, ID 83201 | 2006-05-26 |
1992759930 | Idaho Surgicenter Inc | Durable Medical Equipment & Medical Supplies | 1157 Call Place, Pocatello, ID 83201 | 2006-05-22 |
1467448779 | Home Living Services | Durable Medical Equipment & Medical Supplies | 436 E Bonneville, Pocatello, ID 83201 | 2005-09-22 |
1447687520 | Portneuf Brace Company, LLC | Durable Medical Equipment & Medical Supplies | 560 Memorial Dr Ste C, Pocatello, ID 83201-4073 | 2013-10-03 |
1952668568 | Pocatello Pa Service LLC | Durable Medical Equipment & Medical Supplies | 333 N 18th Ave Ste D2, Pocatello, ID 83201-3358 | 2012-04-19 |
1659681062 | Optisound Hearing Inc | Durable Medical Equipment & Medical Supplies | 2350 Via Caporatti Dr Ste B, Pocatello, ID 83201-5095 | 2010-10-19 |
1932340668 | Lackson LLC | Durable Medical Equipment & Medical Supplies | 1023 Yellowstone Ave, D-1, Pocatello, ID 83201-4478 | 2009-03-09 |
Find all providers in POCATELLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.