DARK HORSE CREATIONS LLC (NPI# 1346703980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346703980 |
| Entity Type | Organization |
| Organization Name | DARK HORSE CREATIONS LLC |
| Practice Address |
901 North Ave Madison WI 53713-1209 |
| Practice Telephone | 9203442123 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. JEROMI D RHADANS (OWNER) |
| Authorized Official Telephone | 9203442123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
901 NORTH AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154712883 | Qarquasia Davis | Contractor | 287 Ne Meadow Run Dr, Madison, FL 32340-7135 | 2015-02-17 |
| 1811313810 | Richard Edwards | Contractor | 234 Se Ammons Ave, Madison, FL 32340-3091 | 2014-03-14 |
| 1154767796 | Michael Burns | Contractor | 4288 Severson Dr, Madison, WI 53718-6642 | 2013-05-21 |
| 1396026175 | Adesola Adeola Ayileka | Contractor | 3810 Sullivan St, Suit N&o, Madison, AL 35758-1762 | 2011-09-07 |
| 1083272850 | National Seating & Mobility, Inc. | Contractor | 125 Park Ave, Madison, NJ 07940-1122 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417007 | M Squared Nc LLC Dba Action Fence | Contractor | 5507 Red Oak Trl, Mc Farland, WI 53558-8411 | 2019-09-25 |
| 1770131492 | Timothy Brandt | Contractor | 524 S Albert Ave, Reedsburg, WI 53959-1827 | 2019-08-27 |
| 1104479955 | Lanita Dorwin | Contractor | W4794 County Road B, Durand, WI 54736-4614 | 2019-07-22 |
| 1164074688 | Blaine M Rogers | Contractor | 6200 Sylvan Ln, Monona, WI 53716-3835 | 2019-07-15 |
| 1306404165 | Teresa Konz | Contractor | N6085 State Road 32, Sheboygan Falls, WI 53085-2341 | 2019-06-05 |
| 1578129995 | Cale Armstrong | Contractor | S13009 Shifflet Rd, Spring Green, WI 53588-9696 | 2019-05-10 |
| 1124594700 | Mindy Leigh Hoppe | Contractor | 230936 Business Park Dr, Wausau, WI 54403-5840 | 2018-10-22 |
| 1760966162 | Jerry Michael Selner | Contractor | N2526 County Road B, Kewaunee, WI 54216-9695 | 2018-09-20 |
| 1902380504 | Stairgoddess, LLC | Contractor | 10 E College Ave Ste 116ab, Appleton, WI 54911-5756 | 2018-09-19 |
| 1003397720 | Chad Michael Stewart | Contractor | 7473 Pine Rd, Minocqua, WI 54548-9141 | 2018-08-22 |
| 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.