Active NPI
Family Medical Equipment and Supply Inc
- Durable Medical Equipment & Medical Supplies
- Peoria, IL
National Provider Identifier
1174526776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 203-000372
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930028626 | IL | DME Supplier - Medical Supply Company | 9133231699 | Practice locations: Peoria, IL |
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 |
|---|---|---|
| Family Medical Equipment & Supply | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.