Covenant Med Devices and Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COVENANT MED DEVICES AND SUPPLIES, INC.

Practice address

2630 Flossmoor Rd Ste 101
Flossmoor, IL 60422-1560

Phone

(708) 816-8452

NPI assigned

Feb 28, 2020

Last updated

May 9, 2024By 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. Machu Ramakrishna

Title

President

Phone

(848) 256-0682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1841824802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 FLOSSMOOR RD STE 101",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221560",
            "telephone_number": "708-816-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 FLOSSMOOR RD STE 101",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221560",
            "telephone_number": "708-816-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MED DEVICES AND SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "RAMAKRISHNA",
        "authorized_official_first_name": "MACHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "848-256-0682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Flossmoor, 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 May 9, 2024; 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.