Provider Demographics
NPI:1912176199
Name:SENGISTIX, LLC
Entity Type:Organization
Organization Name:SENGISTIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-695-5817
Mailing Address - Street 1:1444 NORTHLAND DRIVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1032
Mailing Address - Country:US
Mailing Address - Phone:651-695-5817
Mailing Address - Fax:651-789-0089
Practice Address - Street 1:1444 NORTHLAND DRIVE
Practice Address - Street 2:SUITE 150
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1032
Practice Address - Country:US
Practice Address - Phone:651-695-5817
Practice Address - Fax:651-789-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0057582Medicaid