Organization Active NPI

Enhanced Living Design

  • Customized Equipment (DME)
  • Lake Forest, CA
National Provider Identifier
1376730598
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
B874609 Issued in CA
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

Updated by the provider on Oct 2, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B874609OtherCACONTRACTOR LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.