STATESERV MEDICAL, LLC (NPI# 1669895538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669895538 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL, LLC |
| Practice Address |
756 Commerce Dr Ste 2 Venice FL 34292-1706 |
| Mailing Address |
1201 S. Alma School Road Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 8776337250 |
| Practice Fax Number | 4808290057 |
| Mailing Telephone | 8776337250 |
| Mailing Fax Number | 4808290057 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | CHRISTOPHER ROODE (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699198556 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 2940 Highway 77, Gadsden, AL 35907-7601 | 2014-01-29 |
| 1275956146 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 1045 Collier Center Way, #4, Naples, FL 34110-8442 | 2014-01-29 |
| 1376739458 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 4001 S Contractors Way, Suite 161, Tucson, AZ 85714-2160 | 2007-09-21 |
| Street Address |
756 COMMERCE DR STE 2 |
| City | VENICE |
| State | FL |
| Zip Code | 34292-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1255822615 | All Around Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 242 Blue Juniper Blvd, Venice, FL 34292-1733 | 2018-05-22 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1508317827 | Beauty Plus Wigs Hats & Lingerie Inc. | Durable Medical Equipment & Medical Supplies | 545 Us Highway 41 Byp N, Venice, FL 34285-6040 | 2016-10-21 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1982026662 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 1254 Jacaranda Blvd, Venice, FL 34292-4508 | 2014-01-14 |
| 1710236344 | Breakwater Medical LLC | Durable Medical Equipment & Medical Supplies | 720 Milwood Ave, Venice, CA 90291-3829 | 2012-08-29 |
| 1144598038 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 391 Tamiami Trl S, Venice, FL 34285-2423 | 2011-12-06 |
| 1811286974 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 802 Pinebrook Rd, Venice, FL 34285-7103 | 2011-03-29 |
| 1144548421 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4173 Tamiami Trl S, Venice, FL 34293-5111 | 2010-05-11 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.