Organization Active NPI

Shield - Denver Health Care Center, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Elmhurst, IL
National Provider Identifier
1124132154
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
06 02581 Issued in IL
Legal business name
SHIELD - DENVER HEALTH CARE CENTER, INC.
Practice address
847 N Church CT
Unit a
Elmhurst, IL 60126-1036
Phone
(630) 530-3657
Fax
(630) 617-5218
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Mike Suor
Title
VP and General Manager
Phone
(661) 294-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06 02581 IL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 06 02581 IL Primary

Addresses

Primary practice location

847 N Church CT
Unit a
Elmhurst, IL 60126-1036

Mailing address

27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4200

Other names 1

  • Shield Denver Health Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013925 IL DME Supplier - Medical Supply Company 7315065984 Practice locations: Elmhurst, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Shield Health Care Inc847 N Church CT, Elmhurst, IL 60126-1036(630) 530-3654 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nut… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Shield Denver Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27911 Franklin Pkwy
Valencia, CA 91355
Phone (661) 294-4200

847 N Church Ct
#A
Elmhurst, IL 60126
Phone (630) 530-3654

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1124132154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 FRANKLIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554110",
            "telephone_number": "661-294-4200",
            "fax_number": "661-294-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 N CHURCH CT",
            "address_2": "UNIT A",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261036",
            "telephone_number": "630-530-3657",
            "fax_number": "630-617-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD - DENVER HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "SUOR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP AND GENERAL MANAGER",
        "authorized_official_telephone_number": "661-294-4200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "06 02581",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "06 02581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shield Denver Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.