Provider Demographics
NPI:1184388589
Name:ACT NOW DME LLC
Entity type:Organization
Organization Name:ACT NOW DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:TJALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-784-3809
Mailing Address - Street 1:7620 N HARTMAN LN STE 178
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7485
Mailing Address - Country:US
Mailing Address - Phone:520-354-2669
Mailing Address - Fax:
Practice Address - Street 1:1930 SAN JUAN BLVD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2245
Practice Address - Country:US
Practice Address - Phone:505-355-1971
Practice Address - Fax:505-355-1971
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACT NOW DME LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-22
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies