Active NPI
Enmrsh, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clovis, NM
National Provider Identifier
1124101365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ENMRSH, INC.
- Practice address
- 2700 E 7TH St
Clovis, NM 88101-1708 - Phone
- (575) 762-3718
- Fax
- (575) 763-4158
- NPI assigned
- Oct 23, 2006
- 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
- Damian Houfek
- Title
- President & C.E.O.
- Phone
- (575) 762-3718
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2700 E 7TH St
Clovis, NM 88101-1708
Mailing address
2700 E 7TH St
Clovis, NM 88101-1708
Phone (575) 762-3718
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1808 | Medicaid | NM | |
| E2543 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Enmrsh Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Clovis, NM
- NPI 1215566187
-
- Early Intervention Provider Agency
- Clovis, NM
- NPI 1275003949
-
- Early Intervention Provider Agency
- Clovis, NM
- NPI 1720534530
Locations
2700 E 7th St
Clovis, NM 88101
Phone (575) 742-9032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471910400000",
"number": "1124101365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 7TH ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881011708",
"telephone_number": "575-762-3718",
"fax_number": "575-763-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 7TH ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881011708",
"telephone_number": "575-762-3718",
"fax_number": "575-763-4158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENMRSH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2016-08-23",
"status": "A",
"authorized_official_last_name": "HOUFEK",
"authorized_official_first_name": "DAMIAN",
"authorized_official_title_or_position": "PRESIDENT & C.E.O.",
"authorized_official_telephone_number": "575-762-3718"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D1808",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E2543",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.