Organization Active NPI

Enhance Healthcare Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1396093308
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
58051 Issued in CA
Legal business name
ENHANCE HEALTHCARE MEDICAL SUPPLY
Practice address
9880 Indiana Ave
Suite 27
Riverside, CA 92503-5568
Phone
(951) 509-0440
Fax
(951) 509-0442
NPI assigned
Aug 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Patrick Madere
Title
Owner
Phone
(951) 833-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 58051 CA Primary

Addresses

Primary practice location

9880 Indiana Ave
Suite 27
Riverside, CA 92503-5568

Mailing address

9880 Indiana Ave
Suite 27
Riverside, CA 92503-5568
Phone (951) 509-0440

National Provider Directory

National Provider Directory

Locations

9880 Indiana Ave
Ste 27
Riverside, CA 92503
Phone (951) 509-0440

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1396093308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 INDIANA AVE",
            "address_2": "SUITE 27",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035568",
            "telephone_number": "951-509-0440",
            "fax_number": "951-509-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 INDIANA AVE",
            "address_2": "SUITE 27",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035568",
            "telephone_number": "951-509-0440",
            "fax_number": "951-509-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE HEALTHCARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "MADERE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-833-4108"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "58051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.