The Elephant'S Attic, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

23966531 Issued in IL

Legal business name

THE ELEPHANT'S ATTIC, INC.

Practice address

1127 N 5TH St
Vandalia, IL 62471-1203

Phone

(618) 283-9127

Fax

(618) 283-9127

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Joyce L Stein

Title

Owner

Phone

(618) 283-9127

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1194904763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 N 5TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711203",
            "telephone_number": "618-283-9127",
            "fax_number": "618-283-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N 5TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711203",
            "telephone_number": "618-283-9127",
            "fax_number": "618-283-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELEPHANT'S ATTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-283-9127"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "23966531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Vandalia, IL
• Providers in Vandalia, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.