Kalisthenics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

73272 Issued in CA

Legal business name

KALISTHENICS, LLC

Doing business as

Absolute Wounds Solutions
Gentell Wound Solutions

Practice address

1926 E Cedar St
Ontario, CA 91761-8009

Phone

(800) 840-9041

Fax

(267) 548-3066

NPI assigned

Oct 31, 2006

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Navazio

Title

President

Phone

(847) 350-1770

Specialties & licenses 11

Addresses

Other names 2

• Absolute Wounds Solutions Doing business as
• Gentell Wound Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Twin Med, LLC

  dba Grove Medical

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1245711811

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1578649687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FLORAL VALE BLVD STE 400",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675570",
            "telephone_number": "215-622-7207",
            "fax_number": "267-548-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 E CEDAR ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618009",
            "telephone_number": "800-840-9041",
            "fax_number": "267-548-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISTHENICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "NAVAZIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-350-1770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "73272",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "CSW.0002789",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "DME.000237",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "02151",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69001172A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "16-44473",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "HME000764",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL.11616",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "15061",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000008483",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Wounds Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentell Wound Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Hospitals
• Meena Kakar, NP
• Lisa Marie Kakish
• Gabriel Edward Kalash, PHARMD
• Maura E Kalbach
• Jada Mackenzie Darlene Kaltenbach
• Nawal Kamel, MD
• Bethany Kamhiriri
• Kan Gems LLC
• Kanak Care Home

• Durable Medical Equipment & Medical Supplies in Ontario, CA
• Providers in Ontario, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.