NUDAK VENTURES, LLC (NPI# 1265863294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265863294 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES, LLC |
| Other Organization Name | NUCARA HOME MEDICAL #2 |
| Practice Address |
1113 Ansborough Ave Waterloo IA 50701-2248 |
| Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
| Practice Telephone | 3192878087 |
| Practice Fax Number | 3192321028 |
| Mailing Telephone | 6413663440 |
| Mailing Fax Number | 6413663442 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | LORI WILLIS (ACQUISITIONS MANAGER) |
| Authorized Official Telephone | 6413663440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| NuCara Home Medical #2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1194832626 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 118 Center St, Conrad, IA 50621-7822 | 2006-08-23 |
| 1124039763 | Nudak Ventures, LLC | Pharmacy | 621 Broad St, Story City, IA 50248-1200 | 2006-08-10 |
| 1063423614 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 6111 Burnet Rd, Austin, TX 78757-3226 | 2006-08-10 |
| 1922231364 | Nudak Ventures, LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2009-09-02 |
| 1497935878 | Nudak Ventures, LLC | Pharmacy | 101 W Vallette St, Ste 140, Elmhurst, IL 60126-4419 | 2007-11-14 |
| 1255364469 | Nudak Ventures, LLC | Pharmacy | 107 N Main St, Lenox, IA 50851-1237 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NUDAK VENTURES, LLC | Corp Trust Ctr, 1209 Orange St, Wilmington, DE 19801 |
| Washington State Corporations | NUDAK VENTURES, LLC | 126 N Main St, Conrad, IA 50621 |
| Street Address |
1113 ANSBOROUGH AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760817332 | At Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 6651 Gladel Dr, Waterloo, IL 62298-5055 | 2013-09-13 |
| 1811454622 | Vgm Group, Inc. | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Dr, Waterloo, IA 50701-8927 | 2019-02-28 |
| 1508350810 | Homelink Specialty Products | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Dr, Waterloo, IA 50701-8927 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154890945 | Dubuque Periodontics PC | Durable Medical Equipment & Medical Supplies | 1082 Cedar Cross Rd Ste 2, Dubuque, IA 52003-7745 | 2018-11-21 |
| 1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
| 1467994913 | Siouxland Sleep Solutions | Durable Medical Equipment & Medical Supplies | 1311 Hawkeye Ave Sw, Le Mars, IA 51031-1866 | 2016-11-15 |
| 1184072555 | Ames Center for Cosmetic and Family Dentistry PC | Durable Medical Equipment & Medical Supplies | 415 S Duff Ave Ste D, Ames, IA 50010-6600 | 2016-05-26 |
| 1003284936 | Jva Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4701 J St Sw, Cedar Rapids, IA 52404-4911 | 2015-09-09 |
| 1821480302 | Iowa Physical Therapy, P.C. | Durable Medical Equipment & Medical Supplies | 2750 1st Ave Ne Ste 200, Cedar Rapids, IA 52402-4831 | 2015-02-20 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1255740387 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3100 Se Grimes Blvd Ste 600, Grimes, IA 50111-5052 | 2014-08-02 |
| 1790047967 | Douglas R. Pick Plc | Durable Medical Equipment & Medical Supplies | 1250 Nw 142nd St Ste 201, Clive, IA 50325-8346 | 2012-06-13 |
| 1710219852 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 10052 Justin Dr, Suite G, Urbandale, IA 50322-3876 | 2010-01-30 |
| 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.