NPIMap

Organization Active NPI

Medical Supply Plus, Inc

  • Durable Medical Equipment & Medical Supplies
  • Homewood, IL
National Provider Identifier
1780904078
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL SUPPLY PLUS, INC
Practice address
831 Maple Ave
Suite 216
Homewood, IL 60430-2031
Phone
(800) 606-4332
Fax
(866) 945-5766
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Jerla Freeman
Title
Owner
Phone
(800) 606-4332

Specialties & licenses 1

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

Addresses

Primary practice location

831 Maple Ave
Suite 216
Homewood, IL 60430-2031

Mailing address

831 Maple Ave
Suite 216
Homewood, IL 60430-2031

National Provider Directory

National Provider Directory
Tax ID family
Medical Supply Plus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

831 Maple Ave
Ste 216
Homewood, IL 60430
Phone (800) 606-4332

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1780904078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAPLE AVE",
            "address_2": "SUITE 216",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAPLE AVE",
            "address_2": "SUITE 216",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302031",
            "telephone_number": "800-606-4332",
            "fax_number": "866-945-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JERLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-606-4332"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.