Organization Active NPI

Handi Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mankato, MN
National Provider Identifier
1922438167
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
361346 Issued in MN
Legal business name
HANDI MEDICAL SUPPLY, INC.
Practice address
1400 Madison Ave Ste 618
Mankato, MN 56001-5488
Phone
(651) 644-9770
Fax
(651) 644-0602
NPI assigned
Nov 26, 2013
Organization subpart
Yes
Parent organization
HANDI MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Mr. Shaun Robison
Title
Ceo
Phone
(651) 287-3532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 361346 MN Primary

Addresses

Primary practice location

1400 Madison Ave Ste 618
Mankato, MN 56001-5488

Mailing address

1400 Madison Ave Ste 336
Mankato, MN 56001-5465
Phone (651) 644-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402000592 MN DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1153449756 Practice locations: Mankato, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Handi Medical Supply1400 Madison Ave, Mankato, MN 56001-5488(507) 779-7560 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|Pneumatic Compression Devices and/or… Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory
Tax ID family
Handi Medical Supply2 organizations share this tax ID, including this one
Part of
Handi Medical Supply

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3960 Coon Rapids Blvd NW
Ste 102
Coon Rapids, MN 55433
Phone (651) 789-5858

1400 Madison Ave
Ste 336
Mankato, MN 56001

1400 Madison Ave
Ste 618
Mankato, MN 56001
Phone (507) 779-7560

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1922438167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 336",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015465",
            "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": "1400 MADISON AVE STE 618",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "651-644-9770",
            "fax_number": "651-644-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDI MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANDI MEDICAL SUPPLY, INC.",
        "enumeration_date": "2013-11-26",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "361346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, 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.

Verify at the official NPI Registry.