Active NPI
Enes, Inc
Doing business as Late Bloomers
- Durable Medical Equipment & Medical Supplies
- San Mateo, CA
National Provider Identifier
1114082062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- 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
- Ms. Ruthanna Paige Gillespie-Liebes
- Title
- President
- Phone
- (650) 343-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930086001 | CA | DME Supplier - Prosthetic Personnel | 0749307866 | Practice locations: San Mateo, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Enes Inc Dba Late Boomers | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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
- Areli Enciso
- Amanda Hope Enderle, BCBA
- Endocrinology, Metabolism and Clinical Nutrition Practice
- Endocrinology,Metabolism,and Clinical Nutrition Practice
- Abbigail J. Endres, MFT
- Laura Ann Enfield, N.D., L.AC.
- Viridiana Engberg, M.S., CCC-SLP
- Richard Lane Engelbrecht
- Andrew Cherner Engler, MD
- Susan Enochs, PHD
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.