Benchmark Atlantic Healthcare, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

203-000551 Issued in IL

Legal business name

BENCHMARK ATLANTIC HEALTHCARE, INC.

Practice address

5407 Bull Valley Rd
McHenry, IL 60050-7410

Phone

(815) 578-0304

Fax

(815) 578-0343

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly Robison

Title

Co Owner

Phone

(815) 578-0304

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1740289339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507410",
            "telephone_number": "815-578-0304",
            "fax_number": "815-578-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507410",
            "telephone_number": "815-578-0304",
            "fax_number": "815-578-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK ATLANTIC HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "815-578-0304"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203-000551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "05632100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in McHenry, IL
• Providers in McHenry, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.