Active NPI
Huey'S Home Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
National Provider Identifier
1033398482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HUEY'S HOME MEDICAL, LLC
- Practice address
- 1207 S Mattis Ave Ste 1
Champaign, IL 61821-4862 - Phone
- (217) 356-4839
- Fax
- (217) 666-4128
- NPI assigned
- Nov 1, 2007
- 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
- Wendy Russalesi
- Title
- Cco/ Ao
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1207 S Mattis Ave Ste 1
Champaign, IL 61821-4862
Mailing address
220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Other names 1
- Huey's Home Medical, Inc
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2024 Glenn Park Dr
Champaign, IL 61821
Phone (217) 356-4839
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Oxygen Equipment & Supplies (DME)
- Champaign, IL
- NPI 1215100532
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Chattanooga, TN
- NPI 1932118643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1033398482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W GERMANTOWN PIKE STE 250",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 S MATTIS AVE STE 1",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618214862",
"telephone_number": "217-356-4839",
"fax_number": "217-666-4128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUEY'S HOME MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO/ AO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Huey's Home Medical, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.