Healthcare Provider Details

I. General information

NPI: 1568390144
Provider Name (Legal Business Name): NEXTONEUSALLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 DONITA AVE
MARSHALL MN
56258-2250
US

IV. Provider business mailing address

503 DONITA AVE
MARSHALL MN
56258-2250
US

V. Phone/Fax

Practice location:
  • Phone: 415-760-9766
  • Fax:
Mailing address:
  • Phone: 985-999-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCUS SIMMONS
Title or Position: DIRECTOR
Credential:
Phone: 985-999-6575