ACTIVSTYLE, INC (NPI# 1164775664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164775664 |
| Entity Type | Organization |
| Organization Name | ACTIVSTYLE, INC |
| Practice Address |
9245 S Ashland Ave Chicago IL 60620-5051 |
| Mailing Address |
1701 Broadway St Ne Minneapolis MN 55413-2638 |
| Practice Telephone | 7737834600 |
| Practice Fax Number | 7737838333 |
| Mailing Telephone | 8006516223 |
| Mailing Fax Number | 8668967171 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | GAYLE DEVIN (CEO) |
| Authorized Official Telephone | 6126380330 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1902194889 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 2615 E End Blvd S, Suite 235, Marshall, TX 75672-7425 | 2011-07-13 |
| 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 |
9245 S ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60620-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358182 | Kenya Reed | Developmental Therapist | 8920 S Loomis St, Apt 116, Chicago, IL 60620 | 2020-05-26 |
| 1255820031 | Bnd Transportation | Non-emergency Medical Transport (VAN) | 9436 S Laflin St # 3, Chicago, IL 60620 | 2018-05-07 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1598200164 | Julie Rae Scott | Social Worker | 400 W 76th Street, Suite 226, Chicago, IL 60620 | 2017-01-05 |
| 1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
| 1629488788 | Renee Victoria Green | Counselor | 9415 S. Lowe, Chicago, IL 60620 | 2014-04-29 |
| 1588085138 | Steven Hsu | Chiropractor | 9415 S. Western Ave., Suite 207, Chicago, IL 60620 | 2013-12-30 |
| 1164791810 | Richard Kasper | Pharmacist | 7901 S Western, Chicago, IL 60620 | 2011-12-27 |
| 1992089916 | Michawn Willis | Pharmacist | 8636 S Ashland, Chicago, IL 60620 | 2011-10-10 |
| 1770884314 | Gjm Consultant Services PC | Home Health | 400 W. 76th Street, Suite 202, Chicago, IL 60620 | 2010-11-13 |
| Find all providers in zip 60620 | ||||
| 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 |
|---|---|---|---|---|
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1558974071 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 W Webster Ave, Chicago, IL 60614-7610 | 2020-08-25 |
| 1689286759 | Tia Strong | Durable Medical Equipment & Medical Supplies | 9413 S Vernon Ave, Chicago, IL 60619-7407 | 2020-08-20 |
| 1174134977 | Home Health Connector, LLC | Durable Medical Equipment & Medical Supplies | 1514 W 87th St Ste 2, Chicago, IL 60620-4819 | 2020-08-14 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1508475732 | Lakepointe Spine, Inc. | Durable Medical Equipment & Medical Supplies | 3452 N Damen Ave, Chicago, IL 60618-6106 | 2020-07-23 |
| 1578184370 | Tulsa Medical Supply & Logistics Inc | Durable Medical Equipment & Medical Supplies | 1657 S Troy St Apt 1, Chicago, IL 60623-2332 | 2020-05-03 |
| 1063031177 | Nicholas Achtien | Durable Medical Equipment & Medical Supplies | 833 N Clark St Unit 1804, Chicago, IL 60610-3419 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.