Organization Active NPI

Companion Health Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Des Plaines, IL
National Provider Identifier
1710942941
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPANION HEALTH SERVICES INC
Practice address
2400 E Devon Ave Ste 281
Des Plaines, IL 60018-4629
Phone
(847) 864-4901
Fax
(617) 227-8939
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Elly Latinik
Title
President
Phone
(847) 864-4901

Specialties & licenses 1

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

Addresses

Primary practice location

2400 E Devon Ave Ste 281
Des Plaines, IL 60018-4629

Mailing address

2400 E Devon Ave Ste 281
Des Plaines, IL 60018-4629
Phone (617) 227-0830

Other practice location 1

7444 W Wilson Ave
Harwood Heights, IL 60706
Phone (617) 227-0830

Other practice location 2

149 North St
Boston, MA 02109-1448
Phone (617) 797-0188

Other practice location 3

149 North St
Boston, MA 02109-1448
Phone (617) 797-0188

Other identifiers 3

IdentifierTypeStateIssuer
CH17000MedicaidRI
0000375754OtherMABCBS
1537016MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930021175 IL DME Supplier - Medical Supply Company 3072633247 Practice locations: Des Plaines, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Companion Health Services Inc2400 E Devon Ave, Des Plaines, IL 60018-4629(617) 227-0830 Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2400 E Devon Ave
Ste 281
Des Plaines, IL 60018
Phone (617) 227-0830

7444 W Wilson Ave
Ste 109
Harwood Heights, IL 60706
Phone (617) 227-0830

240 Commercial St
Fl 3
Boston, MA 02109

284 North St
Boston, MA 02113
Phone (617) 227-0830

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1710942941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E DEVON AVE STE 281",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184629",
            "telephone_number": "617-227-0830",
            "fax_number": "847-450-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E DEVON AVE STE 281",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184629",
            "telephone_number": "847-864-4901",
            "fax_number": "617-227-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7444 W Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Harwood Heights",
            "state": "IL",
            "postal_code": "60706",
            "country_code": "US",
            "telephone_number": "617-227-0830",
            "fax_number": "617-227-8939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 North St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091448",
            "country_code": "US",
            "telephone_number": "617-797-0188",
            "fax_number": "617-227-8939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 North St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091448",
            "country_code": "US",
            "telephone_number": "617-797-0188",
            "fax_number": "617-227-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPANION HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "LATINIK",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-864-4901",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "CH17000",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000375754",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.