OrganizationActive
Blacksheep Medical LLC
NPI 1992134712 · Non-Pharmacy Dispensing Site · Ormond Beach, FL
Blacksheep Medical LLC is a Non-Pharmacy Dispensing Site organization in Ormond Beach, FL (NPI 1992134712).
Provider details
- NPI number
- 1992134712
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- OS8215 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1425 Hand Ave
Suite L
Ormond Beach, FL 32174-1135
Phone: (386) 256-3977
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2013-11-02
- Last updated
- 2013-11-02
Frequently asked questions
- What is Blacksheep Medical LLC's NPI number?
- Blacksheep Medical LLC's National Provider Identifier (NPI) is 1992134712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blacksheep Medical LLC?
- Blacksheep Medical LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Blacksheep Medical LLC located?
- Blacksheep Medical LLC's practice location on file with NPPES is 1425 Hand Ave, Ormond Beach, FL 32174-1135.
- What is Blacksheep Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Blacksheep Medical LLC is (386) 256-3977.
- Who is the authorized official for Blacksheep Medical LLC?
- The authorized official listed on Blacksheep Medical LLC's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blacksheep Medical LLC's NPI active?
- Yes — Blacksheep Medical LLC's NPI (1992134712) is active in the NPPES registry as of the last update on 2013-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.