Organization Active NPI

City Wide Home Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1144488156
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1905338 Issued in IL
Legal business name
CITY WIDE HOME MEDICAL SUPPLIES INC
Practice address
3209 N Central Ave
Chicago, IL 60634-4311
Phone
(773) 640-0727
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Ivan M Castro
Title
Owner
Phone
(773) 640-0727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1905338 IL Primary

Addresses

Primary practice location

3209 N Central Ave
Chicago, IL 60634-4311

Mailing address

3209 N Central Ave
Chicago, IL 60634-4311

National Provider Directory

National Provider Directory

Locations

3209 N Central Ave
Chicago, IL 60634
Phone (773) 640-0727

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1144488156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344311",
            "telephone_number": "773-640-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY WIDE HOME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-640-0727"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1905338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.