Enriched Life Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENRICHED LIFE CARE

Practice address

1909 Ranch Estate Dr
Orlando, FL 32825-8407

Phone

(407) 969-6803

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Robina BassNPI 1235802729

Title

Ceo

Phone

(407) 969-6803

Specialties & licenses 1

Addresses

Other names 1

• Enriched Life Care Former legal business name

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robina Bass

  • Occupational Therapist
  • Orlando, FL
  • NPI 1235802729
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1336767912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 RANCH ESTATE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258407",
            "telephone_number": "407-969-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 RANCH ESTATE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258407",
            "telephone_number": "407-969-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ROBINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-969-6803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Orlando",
            "affiliation": "N",
            "endpointDescription": "Orlando",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 Ranch Estate Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328258407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 Ranch Estate Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328258407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enriched Life Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Enrique Rovira D.M.D.
• Yunisel Enriquez Tamayo, C-SA
• Kirsten Lim Enriquez, APRN
• Andrew Ensley, MD

• Home Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.