The Shield LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE SHIELD LLC.

Practice address

103A Jones Ave
Hatley, WI 54440-9707

Phone

(715) 446-2333

Fax

(715) 446-5055

NPI assigned

Jan 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy John Janikowski

Title

Ceo/Cfo

Phone

(715) 446-2333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1154839587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A JONES AVE",
            "city": "HATLEY",
            "state": "WI",
            "postal_code": "544409707",
            "telephone_number": "715-446-2333",
            "fax_number": "715-446-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A JONES AVE",
            "city": "HATLEY",
            "state": "WI",
            "postal_code": "544409707",
            "telephone_number": "715-446-2333",
            "fax_number": "715-446-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHIELD LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "JANIKOWSKI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "715-446-2333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Sue Cabrera, REGISTERED NURSE
• Hatley Area Fire & Ambulance District
• Renee M Kolb, LPN
• Savanah Jo Vera Resch
• Theresa Stieber
• Wendy Vargas, CNA

• Durable Medical Equipment & Medical Supplies in Hatley, WI
• Providers in Hatley, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.