Organization Active NPI

Omega Home Medical Equipment & Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Evanston, IL
National Provider Identifier
1922284140
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 17, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.