Organization Active NPI

Family Medical Equipment and Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
National Provider Identifier
1174526776
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203-000372 Issued in IL
Legal business name
FAMILY MEDICAL EQUIPMENT AND SUPPLY INC
Practice address
3641 N Meadowbrook Rd
Peoria, IL 61604-1214
Phone
(309) 682-1900
Fax
(309) 682-1619
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Mrs. Erin Lard
Title
Operations Manager
Phone
(309) 682-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203-000372 IL Primary

Addresses

Primary practice location

3641 N Meadowbrook Rd
Peoria, IL 61604-1214

Mailing address

3641 N Meadowbrook Rd
Peoria, IL 61604-1214
Phone (309) 682-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028626 IL DME Supplier - Medical Supply CompanyDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory Therapist 9133231699 Practice locations: Peoria, IL

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
Family Medical Equipment & Supply3641 N Meadowbrook Rd, Peoria, IL 61604-1214(309) 682-1900 Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift … Does not accept assignmentParticipating since Jul 5, 2001

National Provider Directory

National Provider Directory

Locations

1041 W Jackson St
Morton, IL 61550
Phone (309) 266-9979

3641 N Meadowbrook Rd
Peoria, IL 61604
Phone (309) 682-1900

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1174526776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 N MEADOWBROOK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041214",
            "telephone_number": "309-682-1900",
            "fax_number": "309-682-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 N MEADOWBROOK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041214",
            "telephone_number": "309-682-1900",
            "fax_number": "309-682-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL EQUIPMENT AND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "LARD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "309-682-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203-000372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.