Organization Active NPI

Enriching, Inc.

Doing business as Enriching III

  • Intellectual Disabilities Intermediate Care Facility
  • Costa Mesa, CA
National Provider Identifier
1528100302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ENRICHING, INC.
Doing business as
Enriching III
Practice address
2507 Christopher LN
Costa Mesa, CA 92626-6793
Phone
(714) 751-7703
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry Ray Doan
Title
Cfo
Phone
(714) 963-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

2507 Christopher LN
Costa Mesa, CA 92626-6793

Mailing address

1500 Adams Ave
Suite 309
Costa Mesa, CA 92626-3866
Phone (714) 430-1447

Other names 1

  • Enriching III Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528100302. Details of each certification follow.

  • CCN 05G478 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G478

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ENRICHING LIVES III
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 26, 1990
Last certification
Oct 17, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Jun 13, 2012
Facility address
2507 Christopher Lane
Costa Mesa, CA 92626

National Provider Directory

National Provider Directory
Tax ID family
Enriching I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1500 Adams Ave
Ste 309
Costa Mesa, CA 92626

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528100302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ADAMS AVE",
            "address_2": "SUITE 309",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263866",
            "telephone_number": "714-430-1447",
            "fax_number": "714-432-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTOPHER LN",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266793",
            "telephone_number": "714-751-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-963-9424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enriching III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.