Organization
ENLIVEN HOME INFUSION SPECIALISTS, LLC
Active
Organization
ENLIVEN HOME INFUSION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERICK MIRAMONTES MBA (PRESIDENT)
(623) 698-4725
Entity
Organization
Contact information
Practice address
11875 W MCDOWELL RD APT 1168, AVONDALE, AZ 85392-3105
(623) 698-4725
Mailing address
11875 W MCDOWELL RD APT 1168, AVONDALE, AZ 85392-3105
(623) 698-4725
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
L18512080
AZ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up