Active NPI
Handi Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Coon Rapids, MN
National Provider Identifier
1770829939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 361346
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1922006741
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.