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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Centrad Healthcare LLC · Centrad Healthcare, LLC | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Legal form | Limited Liability Company | [sources] | |||
| Jurisdiction | United States | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | PROMISe
#101787957 | [sources] | |||
| LEI | 54930027OKO3KZ5YT714 | [sources] | |||
| NPI | 1346243979 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 332B00000X, 332BD1200X, 251E00000X · DME · Medical Supplier | [sources] | |||
| Status | ACTIVE | [sources] | |||
| Address | 184 Shuman Boulevard, Naperville, US-IL 60563 · 1847 Shuman Blv Ste 130, Naperville, IL 60563 · C/O Corporation Service Company, Wilmington, US-DE 19808 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
Providers who have been terminated for cause from New Hampshire's Medicaid program.
United States · DHHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
The record has been enriched with data from the following external databases:
A concatenated data file of all entities which have been issued Legal Entity Identifier (LEI) codes
External dataset · GLEIF · non-official source
us-mednh-e5eeed60ab395b50ca06a2cea5c864b070a9ddf0 · us-medde-ac019fc089209258134d99e19128609f95ddf9db · lei-54930027OKO3KZ5YT714 · us-medmd-1fcc66c2e140f8f6a44ba92c6d97854421b79f67For experts: raw data explorer
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