ENMRSH, INC. (NPI# 1124101365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124101365 |
Entity Type | Organization |
Organization Name | ENMRSH, INC. |
Practice Address |
2700 E 7th St Clovis NM 88101-1708 |
Practice Telephone | 5757623718 |
Practice Fax Number | 5757634158 |
Mailing Telephone | 5757623718 |
Mailing Fax Number | 5757634158 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2016-08-23 |
Authorized Official Name | DAMIAN HOUFEK (PRESIDENT & C.E.O.) |
Authorized Official Telephone | 5757623718 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | E2543 | 05 | |
NM | D1808 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215566187 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2020-04-03 |
1275003949 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2018-11-26 |
1720534530 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2016-08-31 |
Street Address |
2700 E 7TH ST |
City | CLOVIS |
State | NM |
Zip Code | 88101-1708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215566187 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2020-04-03 |
1275003949 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2018-11-26 |
1720534530 | Enmrsh, Inc. | Early Intervention Provider Agency | 2700 E 7th St, Clovis, NM 88101-1708 | 2016-08-31 |
1366819724 | Jessica Wallich | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-09-01 |
1801278452 | Celeste Flores | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-19 |
1881074417 | Annelise Jensen | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-09 |
1568842425 | Nicole Richardson | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-05 |
1538549506 | Reanelle Singkhaophet | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-04 |
1629458690 | Loucretia Jose | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-04 |
1851771224 | Vannessa Morse | Counselor | 2700 E 7th St, Clovis, NM 88101-1708 | 2015-06-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
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Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306318423 | Tohatchi Area of Opportunity & Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1658 S Second St, Gallup, NM 87301-5817 | 2018-12-31 |
1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
1033569074 | Sorinity Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 818 W Granada St, Espanola, NM 87532-2409 | 2016-06-21 |
1629490263 | Aspire Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2603 W 25th St, Roswell, NM 88201-8878 | 2014-01-16 |
1548693203 | Hope Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1101 S Main St Ste B, Roswell, NM 88203-5614 | 2013-08-16 |
1568801017 | Collins Lake Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 Encinal Road, Cleveland, NM 87715 | 2013-06-18 |
1861839235 | Angela Chavez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 607 S Lea Ave, Roswell, NM 88203-4567 | 2013-05-26 |
1538444625 | Milagro De Vida Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2249 Santa Ana, Las Cruces, NM 88011-9082 | 2011-10-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.