Active NPI
Shield - Denver Health Care Center, Inc.
- Parenteral & Enteral Nutrition Supplies (DME)
- Elmhurst, IL
National Provider Identifier
1124132154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 06 02581
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Aurora, CO
- NPI 1962516989
7315065984
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shield Health Care Inc | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Shield Denver Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Aurora, CO
- NPI 1962516989
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.