Organization Active NPI

Enterprising Services Medical Unl.

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
National Provider Identifier
1770638470
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00204085 Issued in GA
Legal business name
ENTERPRISING SERVICES MEDICAL UNL.
Practice address
3011 Rainbow Dr
Suite G
Decatur, GA 30034-1681
Phone
(770) 788-1505
Fax
(770) 234-6260
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Ms. Linda Holder
Title
Owner
Phone
(770) 788-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00204085 GA Primary

Addresses

Primary practice location

3011 Rainbow Dr
Suite G
Decatur, GA 30034-1681

Mailing address

3011 Rainbow Dr
Suite G
Decatur, GA 30034-1681
Phone (770) 788-1505

Other identifiers 1

IdentifierTypeStateIssuer
555650815AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3011 Rainbow Dr
Ste G
Decatur, GA 30034
Phone (770) 788-1505

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1770638470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 RAINBOW DR",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341681",
            "telephone_number": "770-788-1505",
            "fax_number": "770-234-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 RAINBOW DR",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341681",
            "telephone_number": "770-788-1505",
            "fax_number": "770-234-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISING SERVICES MEDICAL UNL.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-788-1505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "00204085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555650815A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.