ACTIVSTYLE, INC (NPI# 1902194889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902194889 |
| Entity Type | Organization |
| Organization Name | ACTIVSTYLE, INC |
| Practice Address |
2615 E End Blvd S Suite 235 Marshall TX 75672-7425 |
| Mailing Address |
1701 Broadway St Ne Minneapolis MN 55413-2638 |
| Practice Telephone | 9039237010 |
| Practice Fax Number | 9039237011 |
| Mailing Telephone | 8006516223 |
| Mailing Fax Number | 8668967171 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | LUKE MCGEE (CEO) |
| Authorized Official Telephone | 6468800473 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVSTYLE HOLDING COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 203671716 | 05 | |
| TX | 286522201 & 02 | 05 | |
| LA | 1409928 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164775664 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 9245 S Ashland Ave, Chicago, IL 60620-5051 | 2012-10-22 |
| 1407847882 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 2139 W 95th St, Chicago, IL 60643-1018 | 2005-11-03 |
| 1659636298 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 241 Church St, Suite G, Putnam, CT 06260-1548 | 2012-07-10 |
| 1407173487 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 3500 Lakeside Ct, Suite 200, Reno, NV 89509-4829 | 2010-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ACTIVSTYLE, INC | 1701 Broadway Street Ne, Minneapolis, MN 55413 |
| New York State Corporations | ACTIVSTYLE, INC | 10 Bank Street, Suite 560, White Plains, Ny 10606 |
| Connecticut Business Registrations | ACTIVSTYLE, INC. | 1701 Broadway Street Ne, Minneapolis, MN 55413 |
| Colorado Business Entities | ActivStyle, Inc. | 220 W Germantown Pike Suite 250, Plymouth Meeting, PA 19462 |
| Washington State Corporations | ACTIVSTYLE, INC. | 1701 Broadway St Ne, Minneapolis, MN 55413-2638 |
| Oklahoma Business Registrations | ACTIVSTYLE, INC. | 1701 Broadway St Ne, Minneapolis, MN 55413-2638 |
| Alabama Business Registrations | ActivStyle, Inc. | 1701 Broadway Street Ne, Minneapolis, MN 55413-2638 |
| Indiana Business Entities | ACTIVSTYLE, INC. | 1701 Broadway Street Ne, Minneapolis, MN 55413 |
| Street Address |
2615 E END BLVD S SUITE 235 |
| City | MARSHALL |
| State | TX |
| Zip Code | 75672-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437106184 | Melicare Inc | Home Health | 2615 E End Blvd S, Suite 300, Marshall, TX 75672-7425 | 2006-05-28 |
| 1093002305 | Advocate Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 2615 E End Blvd S, Suite 285, Marshall, TX 75672-7425 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783376 | Alexander Barroga | Licensed Vocational Nurse | 605 Pr 1332, Marshall, TX 75672 | 2019-01-09 |
| 1699256909 | Paula Dawn Swilley | Occupational Therapy Assistant | 7247 Strickland Springs Rd, Marshall, TX 75672 | 2018-08-24 |
| 1255825394 | Dayspring Therapeutic Equestrian Center of Harrison County Inc | Specialist | 2609 Fern Lake Cutoff, Marshall, TX 75672 | 2018-06-21 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1710352513 | Abel Stevenson | Pharmacist | 300 East End Blvd, Marshall, TX 75672 | 2015-12-04 |
| 1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
| 1730277187 | John Carrell Cayce | Dentist | 2302 S Washington St, Marshall, TX 75672 | 2006-10-11 |
| 1649239005 | Katharine J Balbuena Md | Physical Medicine & Rehabilitation | 811 South Washington, Marshall, TX 75672 | 2006-03-22 |
| 1245583848 | Bob J Herrin | General Practice | 104 Albemarle Rd., Marshall, TX 75672-1526 | 2012-10-19 |
| 1578106753 | Lauren Gayle Ricossa | Nurse Practitioner | 2908 Fern Lake Cutoff, Marshall, TX 75672-1593 | 2019-10-21 |
| Find all providers in zip 75672 | ||||
| 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 |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1669835476 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1212 E College Dr Ste 1, Marshall, MN 56258-2010 | 2016-03-30 |
| 1689935942 | Wildrose Home Medical | Durable Medical Equipment & Medical Supplies | 1210 E College Dr Ste 800, Marshall, MN 56258-2269 | 2012-06-04 |
| 1902047327 | Bruce A Hale | Durable Medical Equipment & Medical Supplies | 764 Liberty Cutoff, Marshall, TX 75672-3927 | 2009-03-14 |
| 1639347842 | Parks Bell Inc | Durable Medical Equipment & Medical Supplies | 402 N Washington Ave, Marshall, TX 75670-3330 | 2008-02-11 |
| 1669515318 | Sedalia Eye Associates, P.C. | Durable Medical Equipment & Medical Supplies | 302 W Morgan St, Marshall, MO 65340-1930 | 2007-02-14 |
| 1306910161 | Marshall Medical Equipment | Durable Medical Equipment & Medical Supplies | 606 N Bolivar St Apt A, Marshall, TX 75670-2016 | 2006-11-20 |
| 1902979222 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 300 East End Blvd (hwy 80), Marshall, TX 75670 | 2006-11-16 |
| 1780755041 | Robert Lisman | Durable Medical Equipment & Medical Supplies | 405 E Pinecrest Dr Unit B, Marshall, TX 75670-7200 | 2006-11-10 |
| Find all providers in MARSHALL | ||||
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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.