Provider Demographics
NPI:1154895449
Name:XENSAN LLC
Entity type:Organization
Organization Name:XENSAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-777-4429
Mailing Address - Street 1:818 OAKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3567
Mailing Address - Country:US
Mailing Address - Phone:571-220-6208
Mailing Address - Fax:
Practice Address - Street 1:6547 ORLAND ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-1813
Practice Address - Country:US
Practice Address - Phone:571-220-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-19
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment