NPIMap

Organization Active NPI

Divine Medical Equipment Supply Company

  • Durable Medical Equipment & Medical Supplies
  • Calumet City, IL
National Provider Identifier
1457785990
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Practice address
1461 Ring Rd
Calumet City, IL 60409-5459
Phone
(708) 321-8218
Fax
(708) 321-8219
NPI assigned
Aug 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mr. Debo A Olaniyan
Title
President
Phone
(708) 321-8218

Specialties & licenses 1

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

Addresses

Primary practice location

1461 Ring Rd
Calumet City, IL 60409-5459

Mailing address

15475 S Park Ave
110
South Holland, IL 60473-1328
Phone (708) 321-8218

National Provider Directory

National Provider Directory
Tax ID family
Divine Medical Equipment Supply Company4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1461 Ring Rd
Calumet City, IL 60409
Phone (708) 321-8218

15475 S Park Ave
Ste 110
South Holland, IL 60473
Phone (708) 321-8218

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1457785990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE",
            "address_2": "110",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731328",
            "telephone_number": "708-321-8218",
            "fax_number": "708-321-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095459",
            "telephone_number": "708-321-8218",
            "fax_number": "708-321-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-31",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "OLANIYAN",
        "authorized_official_first_name": "DEBO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-321-8218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.