Organization Active NPI

Amegrow Group Inc.

Doing business as Amegrow Medical Supplies

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1942399753
Registry record updated Aug 22, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(5) exclusion effective Feb 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
6223-307-9 Issued in IL
Legal business name
AMEGROW GROUP INC.
Doing business as
Amegrow Medical Supplies
Practice address
704 E 44TH St
Chicago, IL 60653-3541
Phone
(773) 451-0600
Fax
(773) 451-0606
NPI assigned
Oct 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ayodele AgunbiadeNPI 1538498506
Title
Ceo
Phone
(773) 451-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 6223-307-9 IL Primary

Addresses

Primary practice location

704 E 44TH St
Chicago, IL 60653-3541

Mailing address

1400 W Devon Ave Ste 301
Chicago, IL 60660-1312
Phone (773) 451-0600

Other names 1

  • Amegrow Medical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1400 W Devon Ave
Ste 301
Chicago, IL 60660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942399753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W DEVON AVE STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601312",
            "telephone_number": "773-451-0600",
            "fax_number": "773-451-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E 44TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533541",
            "telephone_number": "773-451-0600",
            "fax_number": "773-451-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEGROW GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUNBIADE",
        "authorized_official_first_name": "AYODELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-451-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "6223-307-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amegrow Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.