Organization Active NPI

Prism Health Care Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Schaumburg, IL
National Provider Identifier
1457314130
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000156 Issued in IL
Legal business name
PRISM HEALTH CARE SERVICES, INC.
Practice address
1337 Basswood Road
Schaumburg, IL 60173-4536
Phone
(847) 310-4730
Fax
(872) 469-1673
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Neida Mack
Title
Vice President
Phone
(847) 230-8835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000156 IL Primary

Addresses

Primary practice location

1337 Basswood Road
Schaumburg, IL 60173-4536

Mailing address

1337 Basswood Road
Schaumburg, IL 60173-4536
Phone (847) 310-4730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041000 IL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 7416078647 Practice locations: Schaumburg, 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
Prism Health Care Services, Inc1337 Basswood Rd, Schaumburg, IL 60173-4536(847) 310-4730 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelcha… Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

1261 Wiley Rd
Ste L
Schaumburg, IL 60173
Phone (847) 310-4730

1337 Basswood Rd
Schaumburg, IL 60173
Phone (847) 310-4730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1457314130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 BASSWOOD ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734536",
            "telephone_number": "847-310-4730",
            "fax_number": "847-310-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 BASSWOOD ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734536",
            "telephone_number": "847-310-4730",
            "fax_number": "872-469-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "NEIDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-230-8835"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.