Organization Active NPI

Dmehome Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Glendale Heights, IL
National Provider Identifier
1306628599
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DMEHOME SUPPLY LLC
Practice address
2200 Gladstone CT Ste L
Glendale Heights, IL 60139-1500
Phone
(209) 432-5576
Fax
(209) 432-5590
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Monazza Bibi
Title
Owner
Phone
(804) 767-1288

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Gladstone CT Ste L
Glendale Heights, IL 60139-1500

Mailing address

2200 Gladstone CT Ste L
Glendale Heights, IL 60139-1500
Phone (209) 432-5576

National Provider Directory

National Provider Directory

Locations

2200 Gladstone Ct
Ste L
Glendale Heights, IL 60139
Phone (209) 432-5576

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1306628599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GLADSTONE CT STE L",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391500",
            "telephone_number": "209-432-5576",
            "fax_number": "209-432-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GLADSTONE CT STE L",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391500",
            "telephone_number": "209-432-5576",
            "fax_number": "209-432-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMEHOME SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "BIBI",
        "authorized_official_first_name": "MONAZZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-767-1288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.