XIBALBA TECHNOLOGICAL SOLUTIONS, LLC (NPI# 1760910731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760910731 |
| Entity Type | Organization |
| Organization Name | XIBALBA TECHNOLOGICAL SOLUTIONS, LLC |
| Practice Address |
1409 Sheridan Rd Kenosha WI 53140-4443 |
| Practice Telephone | (872) 356-1650 |
| Mailing Telephone | 8723561650 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | JACOB VICKERS (OWNER) |
| Authorized Official Telephone | 8723561650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1409 SHERIDAN RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| 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 |
|---|---|---|---|---|
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1629631536 | Pain Centers of Wisconsin - Kenosha, LLC | Durable Medical Equipment & Medical Supplies | 9697 Saint Catherines Dr Ste 102, Kenosha, WI 53158-2119 | 2019-04-16 |
| 1497291116 | Gustavo Urbina | Durable Medical Equipment & Medical Supplies | 4623 75th St, Suite 279, Kenosha, WI 53142-3701 | 2017-01-19 |
| 1639564578 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 7701 Green Bay Rd, Kenosha, WI 53142-4043 | 2015-03-30 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1912201534 | Livingwell Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 3921 30th Ave Ste B, Kenosha, WI 53144-1957 | 2010-12-23 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1396970489 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3300 Brumback Blvd, Kenosha, WI 53144-4815 | 2009-05-19 |
| 1043444391 | Homestead Independence Inc | Durable Medical Equipment & Medical Supplies | 3203 Washington Rd, Suite G, Kenosha, WI 53144-1643 | 2009-05-14 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in KENOSHA | ||||
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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.