Active NPI
Omega Home Medical Equipment & Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Evanston, IL
National Provider Identifier
1922284140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OMEGA HOME MEDICAL EQUIPMENT & SUPPLIES LLC
- Practice address
- 1717 Howard St
Evanston, IL 60202-3735 - Phone
- (847) 425-9089
- NPI assigned
- Jan 17, 2008
- 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
- Edward L Oller Jr.
- Title
- Registered Agent
- Phone
- (773) 218-9566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1717 Howard St
Evanston, IL 60202-3735
Mailing address
1717 Howard St
Evanston, IL 60202-3735
Phone (847) 425-9089
Other names 1
- SUMMIT HOME MEDICAL EQUIPMENT & SUPPLIES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1922284140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023735",
"telephone_number": "847-425-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023735",
"telephone_number": "847-425-9089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA HOME MEDICAL EQUIPMENT & SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "OLLER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "773-218-9566",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUMMIT HOME MEDICAL EQUIPMENT & SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.