Organization Active NPI

Superior Health Care Concepts Inc

  • Durable Medical Equipment & Medical Supplies
  • Champaign, IL
National Provider Identifier
1861648958
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.000084 Issued in IL
Legal business name
SUPERIOR HEALTH CARE CONCEPTS INC
Practice address
2906 W Clark Rd
Champaign, IL 61822-2809
Phone
(217) 355-2680
Fax
(217) 355-5538
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mr. Johnny Lee Prince
Title
President/Owner
Phone
(217) 355-2680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.000084 IL Primary
Customized Equipment (DME) 332BC3200X 203.000084 IL

Addresses

Primary practice location

2906 W Clark Rd
Champaign, IL 61822-2809

Mailing address

2906 W Clark Rd
Champaign, IL 61822-2809
Phone (217) 355-2680

National Provider Directory

National Provider Directory

Locations

2906 W Clark Rd
Champaign, IL 61822
Phone (217) 355-2680

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1861648958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 W CLARK RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222809",
            "telephone_number": "217-355-2680",
            "fax_number": "217-355-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 W CLARK RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222809",
            "telephone_number": "217-355-2680",
            "fax_number": "217-355-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH CARE CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "217-355-2680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000084",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203.000084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.