Organization Active NPI

Enclave Medical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chesapeake, VA
National Provider Identifier
1003472713
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ENCLAVE MEDICAL INC.
Practice address
1101 Executive Blvd Ste E
Chesapeake, VA 23320-3634
Phone
(252) 231-2668
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Jamison
Title
Ceo
Phone
(252) 231-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1101 Executive Blvd Ste E
Chesapeake, VA 23320-3634

Mailing address

1101 Executive Blvd Ste E
Chesapeake, VA 23320-3634
Phone (252) 231-2668

National Provider Directory

National Provider Directory

Locations

1101 Executive Blvd
Ste E
Chesapeake, VA 23320
Phone (252) 231-2668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1003472713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD STE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "252-231-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD STE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "252-231-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCLAVE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-231-2668"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.