Organization Active NPI

Advanced Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Glenview, IL
National Provider Identifier
1164754644
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED HEALTH SERVICES, INC
Practice address
2501 Compass Rd Ste 105
Glenview, IL 60026-8000
Phone
(847) 768-9915
Fax
(708) 364-9607
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Andrew B MoutonNPI 1477500825
Title
Owner
Phone
(708) 364-0261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2501 Compass Rd Ste 105
Glenview, IL 60026-8000

Mailing address

10646 165TH St
Orland Park, IL 60467-8734
Phone (708) 364-0261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321001019 IL DME Supplier - Medical Supply Company 4284842030 Practice locations: Glenview, IL

Other NPIs with the same Medicare PAC ID 4

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
Advanced Health Services, Inc.2501 Compass Rd, Glenview, IL 60026-8000(847) 768-9917 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2501 Compass Rd
Ste 105
Glenview, IL 60026
Phone (847) 535-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1164754644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10646 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678734",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 COMPASS RD STE 105",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268000",
            "telephone_number": "847-768-9915",
            "fax_number": "708-364-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-364-0261"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.