Organization Active NPI

Heartland Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IL
National Provider Identifier
1679536478
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEARTLAND HOME MEDICAL SUPPLY, INC.
Practice address
716 E Empire St
Ste 2
Bloomington, IL 61701-8613
Phone
(309) 829-8122
Fax
(309) 829-8899
NPI assigned
Apr 11, 2006
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Catherine Rousey
Title
Co-Owner
Phone
(309) 829-8122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

716 E Empire St
Ste 2
Bloomington, IL 61701-8613

Mailing address

716 E Empire St
Ste 2
Bloomington, IL 61701-8613
Phone (309) 829-8122

Other identifiers 2

IdentifierTypeStateIssuer
101025OtherILHEALTH ALLIANCE
05732076OtherILBCBS

National Provider Directory

National Provider Directory

Locations

716 E Empire St
Ste 2
Bloomington, IL 61701
Phone (309) 829-8122

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1679536478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E EMPIRE ST",
            "address_2": "STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617018613",
            "telephone_number": "309-829-8122",
            "fax_number": "309-829-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E EMPIRE ST",
            "address_2": "STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617018613",
            "telephone_number": "309-829-8122",
            "fax_number": "309-829-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ROUSEY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "309-829-8122"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "101025",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05732076",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.