Active NPI
Enhanced Living Design
- Customized Equipment (DME)
- Lake Forest, CA
National Provider Identifier
1376730598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- B874609
- Legal business name
- ENHANCED LIVING DESIGN
- Practice address
- 27 Spectrum Pointe Dr
Suite 306
Lake Forest, CA 92630-2273 - Phone
- (800) 598-9181
- NPI assigned
- Oct 2, 2007
- 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
- Don Woods, B874609
- Title
- President/Ceo
- Phone
- (800) 598-9181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | B874609 | CA | Primary |
Addresses
Primary practice location
27 Spectrum Pointe Dr
Suite 306
Lake Forest, CA 92630-2273
Mailing address
27 Spectrum Pointe Dr
Suite 306
Lake Forest, CA 92630-2273
Phone (800) 598-9181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B874609 | Other | CA | CONTRACTOR LICENSE |
National Provider Directory
National Provider DirectoryLocations
27 Spectrum Pointe Dr
Ste 306
Lake Forest, CA 92630
Phone (800) 598-9181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1376730598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 SPECTRUM POINTE DR",
"address_2": "SUITE 306",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302273",
"telephone_number": "800-598-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SPECTRUM POINTE DR",
"address_2": "SUITE 306",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302273",
"telephone_number": "800-598-9181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED LIVING DESIGN",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "800-598-9181",
"authorized_official_credential": "B874609"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "B874609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTRACTOR LICENSE",
"identifier": "B874609",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.