Active NPI
Enteral Products LLC
Doing business as EPL Diabetic
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
National Provider Identifier
1285078717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 000001161
- Legal business name
- ENTERAL PRODUCTS LLC
- Doing business as
- EPL Diabetic
- Practice address
- 1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128 - Phone
- (877) 863-9266
- Fax
- (901) 260-5202
- NPI assigned
- Apr 26, 2013
- Last updated
- Jul 31, 2014
- 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
- Yisorel Z Rechnitz
- Title
- Authorized Official
- Phone
- (877) 863-9266
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C000958 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG01489 | AR | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 73161 | CA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | CSW.0003218 | CT | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | DME34534 | ID | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | HME00761 | KY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | DME.000518 | LA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | R3457 | MD | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | MP01209 | NV | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NPC0004081 | OR | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6000008495 | PA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 000001161 | TN | Primary |
Addresses
Primary practice location
1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128
Mailing address
1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128
Phone (877) 863-9266
Other names 1
- EPL Diabetic
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Grove Medical
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1245711811
Member Of
Locations
1263 Heil Quaker Blvd
Ste B
La Vergne, TN 37086
Phone (615) 358-0421
1760 Moriah Woods Blvd
#2B
Memphis, TN 38117
Phone (877) 863-9266
1760 Moriah Woods Blvd
Ste 2B
Memphis, TN 38117
Phone (877) 863-9266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1285078717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 MORIAH WOODS BLVD",
"address_2": "2-B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381177128",
"telephone_number": "877-863-9266",
"fax_number": "901-260-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 MORIAH WOODS BLVD",
"address_2": "2-B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381177128",
"telephone_number": "877-863-9266",
"fax_number": "901-260-5202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENTERAL PRODUCTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-26",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "RECHNITZ",
"authorized_official_first_name": "YISOREL",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "877-863-9266"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AZ",
"license": "C000958",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": "MG01489",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "73161",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "CSW.0003218",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ID",
"license": "DME34534",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "HME00761",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "DME.000518",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "R3457",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "MP01209",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OR",
"license": "NPC0004081",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "6000008495",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "000001161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EPL Diabetic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.