Organization Active NPI

Open Arms Medical Supply Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1598469280
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPEN ARMS MEDICAL SUPPLY COMPANY, LLC
Practice address
109 E 47TH St
Chicago, IL 60653-3806
Phone
(312) 644-0542
Fax
(312) 471-8913
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Kimberly KelleyNPI 1487248688
Title
Managing Officer
Phone
(312) 644-0542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

109 E 47TH St
Chicago, IL 60653-3806

Mailing address

109 E 47TH St
Chicago, IL 60653-3806
Phone (312) 644-0542

National Provider Directory

National Provider Directory

Locations

109 E 47th St
Chicago, IL 60653
Phone (312) 644-0542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1598469280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533806",
            "telephone_number": "312-644-0542",
            "fax_number": "312-471-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533806",
            "telephone_number": "312-644-0542",
            "fax_number": "312-471-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS MEDICAL SUPPLY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "312-644-0542"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.