Active NPI
Enriching, Inc.
Doing business as Enriching III
- Intellectual Disabilities Intermediate Care Facility
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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, 2020
- 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
- Mr. Larry Ray Doan
- Title
- Cfo
- Phone
- (714) 963-9424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
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 I
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Enriching I
- Intellectual Disabilities Intermediate Care Facility
- Fountain Valley, CA
- NPI 1114068509
-
dba Enriching II
- Intellectual Disabilities Intermediate Care Facility
- Costa Mesa, CA
- NPI 1588705875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.