Organization Active NPI

Enes, Inc

Doing business as Late Bloomers

  • Durable Medical Equipment & Medical Supplies
  • San Mateo, CA
National Provider Identifier
1114082062
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ENES, INC
Doing business as
Late Bloomers
Practice address
50 Ben Franklin CT
San Mateo, CA 94401-4041
Phone
(650) 343-7000
Fax
(650) 343-6203
NPI assigned
Dec 22, 2006
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Ms. Ruthanna Paige Gillespie-Liebes
Title
President
Phone
(650) 343-7000

Specialties & licenses 1

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

Addresses

Primary practice location

50 Ben Franklin CT
San Mateo, CA 94401-4041

Mailing address

50 Ben Franklin CT
San Mateo, CA 94401-4041
Phone (650) 343-7000

Other names 1

  • Late Bloomers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086001 CA DME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company 0749307866 Practice locations: San Mateo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Enes Inc Dba Late Boomers50 Ben Franklin CT, San Mateo, CA 94401-4041(650) 343-7000 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

50 Ben Franklin Ct
San Mateo, CA 94401
Phone (650) 343-7000

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1114082062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEN FRANKLIN CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014041",
            "telephone_number": "650-343-7000",
            "fax_number": "650-343-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEN FRANKLIN CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014041",
            "telephone_number": "650-343-7000",
            "fax_number": "650-343-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE-LIEBES",
        "authorized_official_first_name": "RUTHANNA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-343-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Late Bloomers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.