Southern Illinois Home Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHERN ILLINOIS HOME MEDICAL EQUIPMENT INC

Practice address

911 Water St
Cahokia, IL 62206-1614

Phone

(618) 482-2002

Fax

(618) 215-0653

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Taylor Schaltenbrand

Title

President

Phone

(618) 482-2002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1821659616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061614",
            "telephone_number": "618-482-2002",
            "fax_number": "618-215-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061614",
            "telephone_number": "618-482-2002",
            "fax_number": "618-215-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HOME MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "SCHALTENBRAND",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-482-2002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Lou Spalding
• Liesha L Stevenson
• Karashia Aurilla Tabbs, MBA, LCPC, NCC, LPC
• Tammie Renee Thomas
• Ashley Thompson

• Durable Medical Equipment & Medical Supplies in Cahokia, IL
• Providers in Cahokia, 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 Jun 24, 2019; 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.