Activstyle, Llc

LBN: Activstyle, Llc
Activstyle, Llc is an health care organization with primary practice located at 1055 Westgate Dr Ste 100 , Saint Paul MN 55114-1451. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Activstyle, Llc can be contacted via phone (800) 651-6223, or through Russalesi, Wendy via phone (484) 246-9499.

Contact Information

Primary practice address
1055 Westgate Dr Ste 100 Saint Paul MN 55114-1451
Phone: (800) 651-6223
Fax: (866) 896-7171
Website:
Map and Directions
Authorized official contact:
Name: Russalesi, Wendy
Phone: (484) 246-9499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1417954165
LBN Legal business name Activstyle, Llc
DBA Doing business as
Authorized official Russalesi, Wendy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417954165 NPPES
Oklahoma MEDICAID 200106290A
Oklahoma MEDICAID 54456
Oklahoma MEDICAID 807670400
Oklahoma MEDICAID 9059163
Oklahoma MEDICAID 124008100
Oklahoma MEDICAID 200219460 A
Oklahoma MEDICAID 2227423
Oklahoma MEDICAID 1417954165
Oklahoma MEDICAID 596546
Oklahoma MEDICAID 84532017
Oklahoma MEDICAID 0048074
Oklahoma MEDICAID 183206
Oklahoma MEDICAID 101858880 0002
Oklahoma MEDICAID 5720001
Oklahoma MEDICAID 014083000
Oklahoma MEDICAID 1013449
Oklahoma MEDICAID 1409928
Oklahoma MEDICAID 166866
Oklahoma MEDICAID 4582469
Oklahoma MEDICAID 004268844
Oklahoma MEDICAID 101373387
Oklahoma MEDICAID 1021830
Oklahoma MEDICAID 1417954165
Oklahoma MEDICAID 34951725

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