Organization Active NPI

Cain Durable Med Equip

  • Durable Medical Equipment & Medical Supplies
  • Country Club Hills, IL
National Provider Identifier
1760531834
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAIN DURABLE MED EQUIP
Practice address
4135 W 194TH CT
Country Club Hills, IL 60478-5841
Phone
(708) 365-6393
Fax
(708) 365-6394
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Miss Danielle J Thomas
Title
Owner
Phone
(708) 865-6393

Specialties & licenses 1

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

Addresses

Primary practice location

4135 W 194TH CT
Country Club Hills, IL 60478-5841

Mailing address

4135 W 194TH CT
Country Club Hills, IL 60478-5841
Phone (708) 365-6393

Other identifiers 1

IdentifierTypeStateIssuer
200539110MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1760531834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 W 194TH CT",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785841",
            "telephone_number": "708-365-6393",
            "fax_number": "708-365-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 W 194TH CT",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785841",
            "telephone_number": "708-365-6393",
            "fax_number": "708-365-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIN DURABLE MED EQUIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-865-6393",
        "authorized_official_name_prefix": "Miss"
    },
    "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": "200539110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.