Organization Active NPI

Nova Craft Renovations LLC

  • Durable Medical Equipment & Medical Supplies
  • Marshfield, WI
National Provider Identifier
1841101680
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NOVA CRAFT RENOVATIONS LLC
Practice address
208500 Derby Ave
Marshfield, WI 54449-4295
Phone
(715) 383-9274
NPI assigned
Sep 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Bohdan Korniienko
Title
General Contractor
Phone
(715) 383-9274

Specialties & licenses 1

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

Addresses

Primary practice location

208500 Derby Ave
Marshfield, WI 54449-4295

Mailing address

206 W 3Rd St Unit B
Marshfield, WI 54449-2706
Phone (715) 240-0727

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1841101680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 3RD ST UNIT B",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492706",
            "telephone_number": "715-240-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208500 DERBY AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494295",
            "telephone_number": "715-383-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA CRAFT RENOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "KORNIIENKO",
        "authorized_official_first_name": "BOHDAN",
        "authorized_official_title_or_position": "GENERAL CONTRACTOR",
        "authorized_official_telephone_number": "715-383-9274"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.