Organization Active NPI

Harvest Medical Supply, LTD

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove Village, IL
National Provider Identifier
1508812876
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HARVEST MEDICAL SUPPLY, LTD
Practice address
1550 E. Higgins Rd.
Ste #105
Elk Grove Village, IL 60007-1687
Phone
(773) 853-0901
Fax
(773) 930-3920
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Mrs. Maria E Vale
Title
President
Phone
(773) 853-0901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1245812 IL
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1550 E. Higgins Rd.
Ste #105
Elk Grove Village, IL 60007-1687

Mailing address

1550 E. Higgins Rd.
Ste #105
Elk Grove Village, IL 60007-1687
Phone (773) 853-0901

Other identifiers 1

IdentifierTypeStateIssuer
01633265OtherILBCBS OF ILLINOIS

Other names 1

  • Harvest Medical Supply Other name

National Provider Directory

National Provider Directory

Locations

1550 E Higgins Rd
Ste 105
Elk Grove Village, IL 60007
Phone (773) 853-0901

4736 N Harlem Ave
Harwood Heights, IL 60706
Phone (773) 853-0901

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1508812876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E. HIGGINS RD.",
            "address_2": "STE #105",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071687",
            "telephone_number": "773-853-0901",
            "fax_number": "773-930-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E. HIGGINS RD.",
            "address_2": "STE #105",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600071687",
            "telephone_number": "773-853-0901",
            "fax_number": "773-930-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST MEDICAL SUPPLY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "VALE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-853-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "1245812",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "01633265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Medical Supply",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.