Healthcare Provider Details

I. General information

NPI: 1013070705
Provider Name (Legal Business Name): TAPIA ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 FLORENCE AVENUE
GRANGER IN
46530
US

IV. Provider business mailing address

323 FLORENCE AVE
GRANGER IN
46530-8049
US

V. Phone/Fax

Practice location:
  • Phone: 574-272-3668
  • Fax: 574-272-3665
Mailing address:
  • Phone: 574-272-3668
  • Fax: 574-272-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. EDWARD DANIEL TAPIA
Title or Position: PRESIDENT
Credential: C-PED
Phone: 574-272-3668