Organization Active NPI

Inovi Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Arden Hills, MN
National Provider Identifier
1669105995
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INOVI HEALTHCARE LLC
Practice address
4392 Round Lake Rd W
Arden Hills, MN 55112-3923
Phone
(844) 321-5438
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Jack Demarest
Title
VP Operations
Phone
(410) 259-5268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4392 Round Lake Rd W
Arden Hills, MN 55112-3923

Mailing address

4392 Round Lake Rd W
Arden Hills, MN 55112-3923

National Provider Directory

National Provider Directory

Locations

4392 Round Lake Rd W
Arden Hills, MN 55112
Phone (844) 321-5438

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1669105995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 ROUND LAKE RD W",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4392 ROUND LAKE RD W",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123923",
            "telephone_number": "844-321-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "DEMAREST",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "410-259-5268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.