NPIMap

Organization Active NPI

Childrite Development

  • Durable Medical Equipment & Medical Supplies
  • New Berlin, IL
National Provider Identifier
1033401815
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
056005570 Issued in IL
Legal business name
CHILDRITE DEVELOPMENT
Practice address
399 Berlin Rd
New Berlin, IL 62670-4541
Phone
(217) 652-0146
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Misty White
Title
Owner
Phone
(217) 652-0146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 056005570 IL Primary

Addresses

Primary practice location

399 Berlin Rd
New Berlin, IL 62670-4541

Mailing address

399 Berlin Rd
New Berlin, IL 62670-4541
Phone (217) 652-0146

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1033401815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 BERLIN RD",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626704541",
            "telephone_number": "217-652-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 BERLIN RD",
            "city": "NEW BERLIN",
            "state": "IL",
            "postal_code": "626704541",
            "telephone_number": "217-652-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRITE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-652-0146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "056005570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.