Healthcare Provider Details

I. General information

NPI: 1487569562
Provider Name (Legal Business Name): NIGHTWARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 EXCELSIOR BLVD
HOPKINS MN
55343-3412
US

IV. Provider business mailing address

8900 EXCELSIOR BLVD
HOPKINS MN
55343-3412
US

V. Phone/Fax

Practice location:
  • Phone: 833-446-4448
  • Fax: 763-888-0395
Mailing address:
  • Phone:
  • Fax: 763-888-0395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. SPENCER LEVY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 818-571-6394