Active NPI
Handi Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HANDI MEDICAL SUPPLY, INC.
- Practice address
- 2505 University Ave W
Saint Paul, MN 55114-1536 - Phone
- (651) 644-9770
- Fax
- (651) 644-0602
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaun Robison
- Title
- Ceo
- Phone
- (651) 287-3532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2505 University Ave W
Saint Paul, MN 55114-1536
Mailing address
2505 University Ave W
Saint Paul, MN 55114-1536
Phone (651) 644-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544063700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038808 | MN | DME Supplier - Medical Supply Company | 1153449756 | Practice locations: Saint Paul, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Mankato, MN
- NPI 1922438167
1153449756
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Handi Medical Supply Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NME… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Handi Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Mankato, MN
- NPI 1922438167
Locations
2505 University Ave W
Saint Paul, MN 55114
Phone (651) 287-3534
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Coon Rapids, MN
- NPI 1770829939
-
- Durable Medical Equipment & Medical Supplies
- Mankato, MN
- NPI 1922438167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1922006741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141536",
"telephone_number": "651-644-9770",
"fax_number": "651-644-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141536",
"telephone_number": "651-644-9770",
"fax_number": "651-644-0602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDI MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "ROBISON",
"authorized_official_first_name": "SHAUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-287-3532"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544063700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.