MR. ALFREDO ENRIQUEZ JR. O.T. - NPI 1396953188 - Nursing Facility/Intermediate Care Facility in West Lafayette Bra, IN

Q: What is Alfredo Enriquez's NPI number?

The NPI number for Alfredo Enriquez is 1396953188. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Alfredo Enriquez's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Alfredo Enriquez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mr. Alfredo Enriquez Jr. O.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALFREDO ENRIQUEZ JR. O.T. (NPI 1396953188) is an individual nursing facility/intermediate care facility provider in West Lafayette Bra, Indiana, licensed in Indiana (31004248A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396953188

Entity TypeIndividualMale

Primary Taxonomy313M00000X

Provider Legal NameMR. ALFREDO ENRIQUEZ JR.Credential: O.T.

Location Address3401 SOLDIERS HOME RDWest Lafayette Bra, IN 47906-1222

Mailing Address3576 Cavendish CtWest Lafayette Bra, IN 47906-0813 · (765) 743-2253

Phone(765) 463-1541

Sole ProprietorYes

Enumeration DateMay 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396953188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IN · 31004248A

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

3401 SOLDIERS HOME RD, West Lafayette Bra, IN 47906

Open in Google Maps ↗