Active NPI
Nova Craft Renovations LLC
- Durable Medical Equipment & Medical Supplies
- Marshfield, WI
National Provider Identifier
1841101680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.