Provider Demographics
NPI:1548224785
Name:ENRICHING INNOVATIONS INC
Entity Type:Organization
Organization Name:ENRICHING INNOVATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RIDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:216-382-9547
Mailing Address - Street 1:1220 S BELVOIR BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2949
Mailing Address - Country:US
Mailing Address - Phone:216-382-9547
Mailing Address - Fax:216-381-9517
Practice Address - Street 1:1220 S BELVOIR BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2949
Practice Address - Country:US
Practice Address - Phone:216-382-9547
Practice Address - Fax:216-381-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN092715164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty