ENLIVEN HOME INFUSION SPECIALISTS LLC NPI 1164850517

NPI Information

NPI: 1164850517
Provider Name: ENLIVEN HOME INFUSION SPECIALISTS, LLC
Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
11875 W MCDOWELL RD APT 1168
AVONDALE, AZ
ZIP 85392
Phone: (623) 698-4725
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ENLIVEN HOME INFUSION SPECIALISTS, LLC is a home infusion in Avondale, AZ. ENLIVEN HOME INFUSION SPECIALISTS, LLC NPI is 1164850517. The provider is registered as an organization entity type.

The provider's business location address is:

11875 W MCDOWELL RD APT 1168
AVONDALE, AZ
ZIP 85392-105
Phone: (623) 698-4725

The provider's authorized official is Erick Miramontes .
The authorized official title is President and has the following contact phone number (623) 698-4725.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 10/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion		L18512080	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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