Active NPI
Bump Health Inc
Doing business as Bump Boxes, Inc
- Durable Medical Equipment & Medical Supplies
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BUMP HEALTH INC
- Doing business as
- Bump Boxes, Inc
- Practice address
- 7719 N Pioneer LN
Peoria, IL 61615-1910 - Phone
- (888) 913-7879
- Fax
- (309) 405-0268
- NPI assigned
- Aug 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leland Daniel Deehring
- Title
- President
- Phone
- (888) 913-7879
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
7719 N Pioneer LN
Peoria, IL 61615-1910
Mailing address
7719 N Pioneer LN
Peoria, IL 61615-1910
Phone (888) 913-7879
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003462581 | Medicaid | MI | |
| 30004828660001 | Medicaid | KS | |
| 5100521 | Medicaid | IL | |
| 100201828 | Medicaid | WI | |
| 7100864750 | Medicaid | KY | |
| 159003 | Medicaid | AZ | |
| 620109893 | Medicaid | MO | |
| 300065914 | Medicaid | IN | |
| 30015097360002 | Medicaid | VA | |
| 1003462581 | Medicaid | IA |
Other names 1
- Bump Boxes, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200214001068 | IL | DME Supplier - Medical Supply Company | 4789010539 | Practice locations: Peoria, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Bump Health Florida
- Durable Medical Equipment & Medical Supplies
- South Daytona, FL
- NPI 1407577331
4789010539
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bump Boxes Inc | Blood Glucose Monitors/Supplies (Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Surgical Dressings|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Doula
- Fayetteville, NC
- NPI 1003658154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1003462581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7719 N PIONEER LN",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151910",
"telephone_number": "888-913-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7719 N PIONEER LN",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151910",
"telephone_number": "888-913-7879",
"fax_number": "309-405-0268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUMP HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-12",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "DEEHRING",
"authorized_official_first_name": "LELAND",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-913-7879",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003462581",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004828660001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5100521",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100201828",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100864750",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159003",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620109893",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300065914",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015097360002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003462581",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bump Boxes, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bump Boxes, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.