Organization Active NPI

Sullivan Home Health Products, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hillsboro, IL
National Provider Identifier
1891770509
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203-000287 Issued in IL
Legal business name
SULLIVAN HOME HEALTH PRODUCTS, INC.
Practice address
311 Berry St
Pob 9
Hillsboro, IL 62049-1201
Phone
(217) 532-6366
Fax
(217) 532-3106
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Maurice E. Sullivan, R.PH.
Title
President
Phone
(217) 839-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203-000287 IL Primary

Addresses

Primary practice location

311 Berry St
Pob 9
Hillsboro, IL 62049-1201

Mailing address

311 Berry St
Pob 9
Hillsboro, IL 62049-1201
Phone (217) 532-6366

Other names 1

  • Sullivan Home Health Former legal business name

National Provider Directory

National Provider Directory

Locations

117 W Spruce St
Gillespie, IL 62033
Phone (217) 839-3228

311 Berry St
Hillsboro, IL 62049
Phone (217) 532-6366

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1891770509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BERRY ST",
            "address_2": "POB 9",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491201",
            "telephone_number": "217-532-6366",
            "fax_number": "217-532-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BERRY ST",
            "address_2": "POB 9",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491201",
            "telephone_number": "217-532-6366",
            "fax_number": "217-532-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN HOME HEALTH PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-839-2909",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203-000287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Home Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hillsboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.