Organization Active NPI

Van's Medical Equipment, LLC

Doing business as Van's Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Benton Harbor, MI
National Provider Identifier
1356422141
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VAN'S MEDICAL EQUIPMENT, LLC
Doing business as
Van's Medical Equipment
Practice address
2547 M 139
Benton Harbor, MI 49022-6413
Phone
(269) 927-8635
Fax
(269) 925-4167
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mr. Tim J Vanantwerp
Title
Member
Phone
(269) 369-7456

Specialties & licenses 1

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

Addresses

Primary practice location

2547 M 139
Benton Harbor, MI 49022-6413

Mailing address

2547 M 139
Benton Harbor, MI 49022-6413
Phone (269) 927-8635

Other identifiers 1

IdentifierTypeStateIssuer
87-4800862MedicaidMI

Other names 1

  • Van's Medical Equipment Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1356422141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226413",
            "telephone_number": "269-927-8635",
            "fax_number": "269-925-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226413",
            "telephone_number": "269-927-8635",
            "fax_number": "269-925-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN'S MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "VANANTWERP",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-369-7456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-4800862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van's Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.