NPIMap

Organization Active NPI

Shelby Home Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shelbyville, IL
National Provider Identifier
1093712770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHELBY HOME MEDICAL EQUIPMENT, INC.
Practice address
1303 W South 2ND St
Shelbyville, IL 62565-1711
Phone
(217) 774-2424
Fax
(217) 774-2554
NPI assigned
Jul 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Kirk Chastain, R.PH.
Title
President
Phone
(217) 429-0660

Specialties & licenses 1

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

Addresses

Primary practice location

1303 W South 2ND St
Shelbyville, IL 62565-1711

Mailing address

PO Box 4000
Decatur, IL 62525-4000
Phone (217) 429-0660

National Provider Directory

National Provider Directory

Locations

1303 W South 2nd St
Shelbyville, IL 62565
Phone (217) 774-2424

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093712770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4000",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625254000",
            "telephone_number": "217-429-0660",
            "fax_number": "217-429-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W SOUTH 2ND ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651711",
            "telephone_number": "217-774-2424",
            "fax_number": "217-774-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-429-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.