Organization Active NPI

Enmrsh, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clovis, NM
National Provider Identifier
1124101365
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Aug 23, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D1808MedicaidNM
E2543MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Enmrsh Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.