Active NPI
Hayat Home Medical Equipment
- Oxygen Equipment & Supplies (DME)
- Evergreen Park, IL
National Provider Identifier
1326013004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 203-000544
- Legal business name
- HAYAT HOME MEDICAL EQUIPMENT
- Practice address
- 3518 W 95TH St
Evergreen Park, IL 60805-2105 - Phone
- (708) 422-2300
- NPI assigned
- Feb 17, 2006
- 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
- Mr. Mubarak Amine
- Title
- General Manager
- Phone
- (708) 422-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203-000544 | IL | Primary |
Addresses
Primary practice location
3518 W 95TH St
Evergreen Park, IL 60805-2105
Mailing address
3518 W 95TH St
Evergreen Park, IL 60805-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930098854 | IL | DME Supplier - Medical Supply Company With Respiratory Therapist | 8224245147 | Practice locations: Evergreen Park, 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 |
|---|---|---|
| Hayat Home Medical Equipment | Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Wheelchairs (Standar… | Does not accept assignment |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1881107514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274832000000",
"number": "1326013004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052105",
"telephone_number": "708-422-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYAT HOME MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2010-05-26",
"status": "A",
"authorized_official_last_name": "AMINE",
"authorized_official_first_name": "MUBARAK",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "708-422-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": "203-000544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.