Ensura Health LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ENSURA HEALTH LLC

Practice address

1601 N Division St Ste G
Spokane, WA 99207-2427

Phone

(800) 503-1769

Fax

(509) 320-4502

NPI assigned

Aug 27, 2017

Organization subpart

No

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

Authorized official

Name

Michael Donahue

Title

Managing Member

Phone

(206) 910-6373

Specialties & licenses 1

Addresses

Other names 1

• Custom Fit Doing business as

Tax ID family

Custom Fit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ensura Health LLC

  • Customized Equipment (DME)
  • Seattle, WA
  • NPI 1760909139
  NPD tax ID

Locations

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1497272868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 25TH AVE NE # 293",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054183",
            "telephone_number": "800-503-1769",
            "fax_number": "509-320-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N DIVISION ST STE G",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072427",
            "telephone_number": "800-503-1769",
            "fax_number": "509-320-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSURA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-27",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-910-6373"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Fit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett E. Enlow, MD
• Kayla Marie Enquist, CRNA
• Steven Ensign, OTA
• Mariana Lee Ensley
• Randall Jay Ensminger, PMHNP-BC
• Jay L Enzler, D.D.S.
• Preston Alexander Epler
• Fredrick Francis Epley Jr., CDPI
• Brandi Eppers, FNP-C
• David L Erb, PH.D.

• Customized Equipment (DME) in Spokane, WA
• Providers in Spokane, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.