STATESERV MEDICAL (NPI# 1700324944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700324944 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL |
| Other Organization Name | STATESERV MEDICAL OF FLORIDA |
| Practice Address |
31661 Executive Blvd Suite 2 Leesburg FL 34748-8735 |
| Mailing Address |
1201 S. Alma School Road Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 4809669730 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | CHRISTOPHER ROODE (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATESERV COMPANIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| StateServ Medical of Florida | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1811435050 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 3101 N Mcdonald St, Suite 600, Mckinney, TX 75071-8193 | 2017-02-08 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1659819886 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 5233 Ih 37, Suite B-3, Corpus Christi, TX 78408-2500 | 2017-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | STATESERV MEDICAL OF COLORADO, L.L.C. | 1201 S Alma School Rd, Suite 4000, Mesa, AZ 85210 |
| Street Address |
31661 EXECUTIVE BLVD SUITE 2 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292441 | Rapid Global Responders LLC | Durable Medical Equipment & Medical Supplies | 13612 Village Green Dr, Leesburg, VA 20176-5007 | 2020-07-20 |
| 1023246956 | Medquest Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1310-a North Shore Dr, Leesburg, FL 34748-3536 | 2009-06-30 |
| 1821103201 | Breathe Easy Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9900 Us Highway 441, Leesburg, FL 34788-3919 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164283 | Florida Hospital Dme/rt, LLC | Durable Medical Equipment & Medical Supplies | 3715 Lake Center Dr, Mount Dora, FL 32757-2363 | 2020-08-14 |
| 1265055263 | Transox, Inc | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 109, Bradenton, FL 34211-9438 | 2020-05-26 |
| 1285257436 | Trans Ox Inc | Durable Medical Equipment & Medical Supplies | 7343 Nw 54th St, Miami, FL 33166-4831 | 2020-05-22 |
| 1649819921 | Jared Rubin | Durable Medical Equipment & Medical Supplies | 6810 N State Road 7 Ste 137b, Coconut Creek, FL 33073-4304 | 2020-01-03 |
| 1225686900 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 Sr 54 Ste 101, Zephyrhills, FL 33543-9105 | 2019-08-27 |
| 1811549108 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 8520 4th St N, St Petersburg, FL 33702-3102 | 2019-07-16 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1336613116 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 7723 Collier Blvd Unit 302, Naples, FL 34114-2771 | 2019-01-15 |
| 1609344647 | Special Care Medical of Sc, Inc. | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 107, Bradenton, FL 34211-9438 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
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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.