Home Air of Joliet,LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000549 Issued in IL

Legal business name

HOME AIR OF JOLIET,LTD.

Practice address

1500 Essington Rd
Suite 3
Joliet, IL 60435-8414

Phone

(815) 741-0712

Fax

(815) 741-9277

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Denise Edman

Title

President/Owner

Phone

(815) 741-0712

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

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1790782480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ESSINGTON RD",
            "address_2": "SUITE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358414",
            "telephone_number": "815-741-0712",
            "fax_number": "815-741-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ESSINGTON RD",
            "address_2": "SUITE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358414",
            "telephone_number": "815-741-0712",
            "fax_number": "815-741-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AIR OF JOLIET,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "EDMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-741-0712"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER #",
            "identifier": "1670375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Joliet, IL
• Providers in Joliet, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.