Organization Active NPI

Handi Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Coon Rapids, MN
National Provider Identifier
1770829939
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
361346 Issued in MN
Legal business name
HANDI MEDICAL SUPPLY, INC.
Practice address
3960 Coon Rapids Blvd NW
Ste #102
Coon Rapids, MN 55433-2521
Phone
(651) 789-5858
Fax
(651) 644-0602
NPI assigned
Dec 17, 2012
Organization subpart
Yes
Parent organization
HANDI MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mr. Michael Spencer Bailey
Title
Ceo
Phone
(651) 287-3532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 361346 MN Primary

Addresses

Primary practice location

3960 Coon Rapids Blvd NW
Ste #102
Coon Rapids, MN 55433-2521

Mailing address

2505 University Ave W
Saint Paul, MN 55114-1536
Phone (651) 644-9770

National Provider Directory

National Provider Directory
Part of
Handi Medical Supply

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1770829939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141536",
            "telephone_number": "651-644-9770",
            "fax_number": "651-644-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW",
            "address_2": "STE #102",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332521",
            "telephone_number": "651-789-5858",
            "fax_number": "651-644-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDI MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANDI MEDICAL SUPPLY, INC.",
        "enumeration_date": "2012-12-17",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-287-3532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "361346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.