Premier Homecare Supplies, LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5778 Issued in IL

Legal business name

PREMIER HOMECARE SUPPLIES, LTD

Practice address

8048 S Kedzie Ave
Chicago, IL 60652-2603

Phone

(773) 776-9941

Fax

(773) 776-9953

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tony Zakhem

Title

President

Phone

(773) 776-9941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1982602207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8048 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522603",
            "telephone_number": "773-776-9941",
            "fax_number": "773-776-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8048 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522603",
            "telephone_number": "773-776-9941",
            "fax_number": "773-776-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOMECARE SUPPLIES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ZAKHEM",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-776-9941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.