Home Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000119 Issued in IL

Legal business name

HOME MEDICAL SUPPLIES INC

Practice address

422 South Governors Highway
Suite 15
Peotone, IL 60468-9113

Phone

(708) 259-9880

Fax

(708) 258-9888

NPI assigned

Oct 18, 2006

Last updated

Oct 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Lynn Wolff

Title

Owner President

Phone

(708) 258-9880

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1669553517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SOUTH GOVERNORS HIGHWAY",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689113",
            "telephone_number": "708-259-9880",
            "fax_number": "708-258-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SOUTH GOVERNORS HIGHWAY",
            "address_2": "SUITE 15",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689113",
            "telephone_number": "708-259-9880",
            "fax_number": "708-258-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "708-258-9880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "09923225",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200293290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Hanson
• Hearing Professionals of America LLC
• Monica Henry, FNP
• Highland Park CVS, L.L.C. (CVS Pharmacy #10737)
• Sandra J Hillegonds
• Michael C Hyre, MD
• Illinois Eye Associates, LTD
• Ize Vision Center of Peotone, LLC
• Danielle Jean Jacques
• Stacy Kaplan

• Durable Medical Equipment & Medical Supplies in Peotone, IL
• Providers in Peotone, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.