Organization Active NPI

Mediforge LLC

  • Durable Medical Equipment & Medical Supplies
  • Willis, TX
National Provider Identifier
1770409799
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIFORGE LLC
Practice address
12331 Sword Point CT
Willis, TX 77378-3213
Phone
(929) 494-1034
NPI assigned
Jun 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Mary Frances Heise
Title
Owner
Phone
(929) 494-1034

Specialties & licenses 1

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

Addresses

Primary practice location

12331 Sword Point CT
Willis, TX 77378-3213

Mailing address

12331 Sword Point CT
Willis, TX 77378-3213
Phone (929) 494-1034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1770409799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 SWORD POINT CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773783213",
            "telephone_number": "929-494-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 SWORD POINT CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773783213",
            "telephone_number": "929-494-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIFORGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-494-1034"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.