Organization Active NPI

Angelcare and Medical Equipment Supply Company Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1366513442
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANGELCARE AND MEDICAL EQUIPMENT SUPPLY COMPANY INC
Practice address
66 E 71St St
Chicago, IL 60619-1030
Phone
(773) 602-2170
NPI assigned
Nov 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mr. Azuka Valentine Dibie
Title
President
Phone
(773) 602-2170

Specialties & licenses 1

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

Addresses

Primary practice location

66 E 71St St
Chicago, IL 60619-1030

Mailing address

66 E 71St St
Chicago, IL 60619-1030
Phone (773) 602-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930019083 IL DME Supplier - Medical Supply Company 7517161771 Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Angelcare and Medical Equipment Sup66 E 71St St, Chicago, IL 60619-1030(773) 602-2170 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Veh… Accepts assignmentParticipating since Mar 7, 2007

National Provider Directory

National Provider Directory

Locations

66 E 71st St
Chicago, IL 60619
Phone (773) 602-2170

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1366513442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191030",
            "telephone_number": "773-602-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191030",
            "telephone_number": "773-602-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELCARE AND MEDICAL EQUIPMENT SUPPLY COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "DIBIE",
        "authorized_official_first_name": "AZUKA",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-602-2170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.

Verify at the official NPI Registry.