NPIMap

Organization Active NPI

Midwest Home Medical Supplies, LTD.

  • Oxygen Equipment & Supplies (DME)
  • Crystal Lake, IL
National Provider Identifier
1477867778
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MIDWEST HOME MEDICAL SUPPLIES, LTD.
Practice address
111 Erick St
Unit 128
Crystal Lake, IL 60014-1305
Phone
(815) 788-3272
Fax
(815) 788-3282
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Ms. Kelly Daehler
Title
President
Phone
(815) 788-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X IL Primary

Addresses

Primary practice location

111 Erick St
Unit 128
Crystal Lake, IL 60014-1305

Mailing address

111 Erick St
Unit 128
Crystal Lake, IL 60014-1305
Phone (815) 788-3272

National Provider Directory

National Provider Directory

Locations

111 Erick St
Ste 128
Crystal Lake, IL 60014
Phone (815) 788-3272

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1477867778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ERICK ST",
            "address_2": "UNIT 128",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141305",
            "telephone_number": "815-788-3272",
            "fax_number": "815-788-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ERICK ST",
            "address_2": "UNIT 128",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141305",
            "telephone_number": "815-788-3272",
            "fax_number": "815-788-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOME MEDICAL SUPPLIES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "DAEHLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-788-3272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.