Provider Demographics
NPI:1871119966
Name:NIMBLE CORPORATION
Entity type:Organization
Organization Name:NIMBLE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:VEDAVYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-834-7930
Mailing Address - Street 1:876 HEATHERFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2098
Mailing Address - Country:US
Mailing Address - Phone:215-834-7930
Mailing Address - Fax:
Practice Address - Street 1:28369 DAVIS PKWY STE 403
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3036
Practice Address - Country:US
Practice Address - Phone:215-834-7930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesGroup - Multi-Specialty