NPIMap

Organization Active NPI

National Seating & Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Countryside, IL
National Provider Identifier
1003889684
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000211 Issued in IL
Legal business name
NATIONAL SEATING & MOBILITY INC
Practice address
5444 East Ave Unit a
Countryside, IL 60525
Phone
(630) 495-3751
Fax
(866) 428-6859
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000211 IL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5444 East Ave Unit a
Countryside, IL 60525

Mailing address

5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268

Other identifiers 2

IdentifierTypeStateIssuer
100194330JMedicaidIN
1003889684MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930090058 IL DME Supplier - Medical Supply Company 8224157094 Practice locations: Countryside, IL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
National Seating & Mobility, Inc.5444 East Ave, Countryside, IL 60525-3671(630) 495-3751 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related A… Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Nat'L Seating Mobility182 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5444 East Ave
Unit A
Countryside, IL 60525
Phone (630) 495-3751

Networks

  • IL HMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1003889684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-266-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 EAST AVE UNIT A",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "630-495-3751",
            "fax_number": "866-428-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SEATING & MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000211",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194330J",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003889684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.

Verify at the official NPI Registry.