Amenioheal Wound Care Inc.
NPI 1801645692ActiveOrganization· Specialist· Upland, CA
Specialist in Upland, California, registered in NPPES in May 2024. The authorized official on file is Tyler Stout, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801645692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2024 |
| Last updated in NPPES | May 24, 2024 |
| Certified by provider | May 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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