Active NPI
Enriching, Inc.
Doing business as Enriching I
- Intellectual Disabilities Intermediate Care Facility
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- ENRICHING, INC.
- Doing business as
- Enriching I
- Practice address
- 9514 Smoke Tree Ave
Fountain Valley, CA 92708-7258 - Phone
- (714) 962-4628
- Fax
- (714) 962-4628
- NPI assigned
- Feb 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Ray Doan
- Title
- Cfo
- Phone
- (714) 963-9424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
9514 Smoke Tree Ave
Fountain Valley, CA 92708-7258
Mailing address
1500 Adams Ave
Suite 309
Costa Mesa, CA 92626-3866
Phone (714) 430-1444
Other names 1
- Enriching I
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114068509. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G149
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ENRICHING, INC
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 15, 1985
- Last certification
- Nov 25, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Apr 16, 2012
- Facility address
- 9514 Smoke Tree Avenue
Fountain Valley, CA 92708
National Provider Directory
National Provider Directory- Tax ID family
- Enriching I
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Enriching III
- Intellectual Disabilities Intermediate Care Facility
- Costa Mesa, CA
- NPI 1528100302
-
dba Enriching II
- Intellectual Disabilities Intermediate Care Facility
- Costa Mesa, CA
- NPI 1588705875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114068509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ADAMS AVE",
"address_2": "SUITE 309",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263866",
"telephone_number": "714-430-1444",
"fax_number": "714-432-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9514 SMOKE TREE AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087258",
"telephone_number": "714-962-4628",
"fax_number": "714-962-4628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENRICHING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOAN",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "714-963-9424",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enriching I",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.