Personal Comfort Supplies of Wi

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERSONAL COMFORT SUPPLIES OF WI

Practice address

1220 Mound Ave
Suite 315
Racine, WI 53404-3350

Phone

(188) 836-4360

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Nicole McTizic

Title

President

Phone

(888) 364-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568580207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 ALEXIS CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MOUND AVE",
            "address_2": "SUITE 315",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534043350",
            "telephone_number": "188-836-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL COMFORT SUPPLIES OF WI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCTIZIC",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "18883643600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41759100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Pedrazoli, RN
• Catherine Peek, APSW
• Kathy B. Peetz, M.S.
• Mark A. Pelton, RPH
• Susan J Perez, P.A.- C
• Jill M Peterson, PSYD
• Reanna Peterson
• Wesley Peterson, RN
• Kenna Petery
• Denise Petrelli-Holst, LPC

• Durable Medical Equipment & Medical Supplies in Racine, WI
• Providers in Racine, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.