NPIMap

Organization Active NPI

Somnium DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Mishawaka, IN
National Provider Identifier
1164896130
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOMNIUM DME LLC
Practice address
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442
Phone
(574) 231-6895
Fax
(574) 231-6852
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Ravi Mahadevia
Title
Ceo
Phone
(312) 498-4259

Specialties & licenses 1

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

Addresses

Primary practice location

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442

Mailing address

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442
Phone (574) 231-6895

Other names 1

  • Somnium DME South Bend Other name

National Provider Directory

National Provider Directory
Tax ID family
Somnium DME LLC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1164896130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451442",
            "telephone_number": "574-231-6895",
            "fax_number": "574-231-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451442",
            "telephone_number": "574-231-6895",
            "fax_number": "574-231-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMNIUM DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "MAHADEVIA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-498-4259"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somnium DME South Bend",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.