KREG THERAPEUTICS, INC. (NPI# 1831382654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831382654 |
| Entity Type | Organization |
| Organization Name | KREG THERAPEUTICS, INC. |
| Practice Address |
1905 Goodson Ct South Bend IN 46613-3413 |
| Mailing Address |
2240 W Walnut St Chicago IL 60612-2218 |
| Practice Telephone | 3128298904 |
| Practice Fax Number | 3128298909 |
| Mailing Telephone | 3128298904 |
| Mailing Fax Number | 3128298909 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | MRS. MARIA I MAYORGA (MEDICARE BILLER) |
| Authorized Official Telephone | 3128298904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013102334 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 11040 Lin Valle Dr, Suite E, Saint Louis, MO 63123-7210 | 2007-09-10 |
| 1477744985 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 1300 Washington Road, Washington, IL 61571-2368 | 2007-08-08 |
| 1326239591 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 14200 West Commerce Road, Daleville, IN 47334 | 2007-08-05 |
| 1629146014 | Kreg Therapeutics, Inc. | Durable Medical Equipment & Medical Supplies | 2240 W Walnut St, Chicago, IL 60612-2218 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KREG THERAPEUTICS, INC | 1940 Janice Ave, Melrose Park, IL 60160-1009 |
| Oklahoma Business Registrations | KREG THERAPEUTICS, INC. | 2240 W Walnut, Chicago, IL 60612 |
| New York State Corporations | KREG THERAPEUTICS, INC. | 1940 Janice Ave, Melrose Park, Il 60160 |
| Indiana Business Entities | KREG THERAPEUTICS, INC. | 2240 W Walnut St, Chicago, IL 60612 |
| Street Address |
1905 GOODSON CT |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46613-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730330721 | Mindy Lynne Gradeless | Social Worker | 229 East Ewing Avenue, South Bend, IN 46613 | 2008-10-08 |
| 1689836405 | Staci-marie Balog Norman | Pharmacist | 760 West Cotter Street, South Bend, IN 46613 | 2008-07-02 |
| 1659386779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1945 Lincolnway East, South Bend, IN 46613 | 2006-07-29 |
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 2007-05-23 |
| 1366702060 | Clara M Davis | Private Vehicle | 1719 W Dubail St, South Bend, IN 46613-1216 | 2012-05-29 |
| 1215923313 | Gregory Matthew Ferro | Family Medicine | 1832 Prairie Ave, South Bend, IN 46613-1400 | 2005-09-23 |
| 1508330002 | Homeworks Construction Inc | Durable Medical Equipment & Medical Supplies | 1511 Pulaski St, South Bend, IN 46613-1404 | 2019-01-17 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| Find all providers in zip 46613 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1326439787 | Tmj & Sleep Therapy Centre of Northern Indiana | Durable Medical Equipment & Medical Supplies | 17901 Turners Dr, South Bend, IN 46635-1529 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402989 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 12680 Ford Dr, Fishers, IN 46038-2892 | 2020-06-23 |
| 1770108169 | Rehab Medical, LLC | Durable Medical Equipment & Medical Supplies | 15252 Stony Creek Way Ste 103, Noblesville, IN 46060-4390 | 2020-06-11 |
| 1154945657 | Indianapolis Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 7241 E 146th St, Carmel, IN 46033-9858 | 2020-06-01 |
| 1215557137 | Mp Supports LLC | Durable Medical Equipment & Medical Supplies | 1178 Fremont Ct Ste 1f, Elkhart, IN 46516-9321 | 2020-04-21 |
| 1821645169 | Eperture LLC | Durable Medical Equipment & Medical Supplies | 4070 25th St, Columbus, IN 47203-3161 | 2019-08-21 |
| 1588219729 | Crossings Clinic LLC | Durable Medical Equipment & Medical Supplies | 5520 E Highway 62, Jeffersonville, IN 47130-8735 | 2019-08-05 |
| 1972069904 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 200 E Lincoln Rd, Kokomo, IN 46902-3564 | 2019-02-14 |
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1407342157 | Vivian Ann Allen-baer | Durable Medical Equipment & Medical Supplies | 2316 Gutford Rd, Clarksville, IN 47129-9048 | 2018-07-05 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46613 |
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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.