NPIMap

Organization Active NPI

Extended Home Living Services

  • Durable Medical Equipment & Medical Supplies
  • Wheeling, IL
National Provider Identifier
1194971333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXTENDED HOME LIVING SERVICES
Practice address
555 N Wolf Rd
Wheeling, IL 60090-3027
Phone
(847) 215-9490
Fax
(847) 215-9632
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Allan Browne
Title
President
Phone
(847) 215-9490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary
Customized Equipment (DME) 332BC3200X IL

Addresses

Primary practice location

555 N Wolf Rd
Wheeling, IL 60090-3027

Mailing address

555 N Wolf Rd
Wheeling, IL 60090-3027
Phone (847) 215-9490

National Provider Directory

National Provider Directory

Locations

555 N Wolf Rd
Wheeling, IL 60090
Phone (847) 215-9490

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194971333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903027",
            "telephone_number": "847-215-9490",
            "fax_number": "847-215-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903027",
            "telephone_number": "847-215-9490",
            "fax_number": "847-215-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HOME LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-215-9490"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.