Enteral Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

69001236A Issued in IN

Legal business name

ENTERAL PRODUCTS, LLC

Practice address

6625 Network Way
Suite 100-B
Indianapolis, IN 46278-1682

Phone

(317) 248-1142

Fax

(855) 331-0275

NPI assigned

Dec 8, 2014

Last updated

Dec 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yisroel Rechnitz

Title

Managing Member

Phone

(317) 248-1142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1326446311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 GREENSTONE AVE",
            "address_2": "SUITE A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704618",
            "telephone_number": "562-447-2550",
            "fax_number": "562-968-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 NETWORK WAY",
            "address_2": "SUITE 100-B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781682",
            "telephone_number": "317-248-1142",
            "fax_number": "855-331-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERAL PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "317-248-1142"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69001236A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.