Active NPI
Harvest Medical Supply, LTD
- Durable Medical Equipment & Medical Supplies
- Elk Grove Village, IL
National Provider Identifier
1508812876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633265 | Other | IL | BCBS OF ILLINOIS |
Other names 1
- Harvest Medical Supply
National Provider Directory
National Provider DirectoryLocations
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.