Facedown Rental, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FACEDOWN RENTAL, LLC

Practice address

W188N11770 Maple Rd # Door4
Germantown, WI 53022-2410

Phone

(414) 476-9008

Fax

(414) 476-9089

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Debra Lynne Luckow, LMT, NMT

Title

President

Phone

(414) 476-9008

Specialties & licenses 1

Addresses

Other names 1

• Facedown Rental, LLC Former legal business name

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1720555196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N9666 PILGRIM RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225102",
            "telephone_number": "414-476-9008",
            "fax_number": "414-476-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W188N11770 MAPLE RD # DOOR4",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530222410",
            "telephone_number": "414-476-9008",
            "fax_number": "414-476-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACEDOWN RENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "LUCKOW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-476-9008",
        "authorized_official_credential": "LMT, NMT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Facedown Rental, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Facedown Rental, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Customized Equipment (DME) in Germantown, WI
• Providers in Germantown, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.