Provider Demographics
NPI:1356466833
Name:ORGANIZATION FOR ENHANCED CAPABILITY, INCORPORATED
Entity Type:Organization
Organization Name:ORGANIZATION FOR ENHANCED CAPABILITY, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-677-0777
Mailing Address - Street 1:657 QUARRY ST STE 10
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1021
Mailing Address - Country:US
Mailing Address - Phone:508-677-0777
Mailing Address - Fax:508-677-2335
Practice Address - Street 1:657 QUARRY ST STE 10
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1021
Practice Address - Country:US
Practice Address - Phone:508-677-0777
Practice Address - Fax:508-677-2335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1538233332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIIL12868Medicaid
MA1538233Medicaid
MA000000023655OtherBMC PROVIDER NUMBER