EXTENDED HOME LIVING SERVICES (NPI# 1194971333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194971333 |
| Entity Type | Organization |
| Organization Name | EXTENDED HOME LIVING SERVICES |
| Practice Address |
555 N Wolf Rd Wheeling IL 60090-3027 |
| Practice Telephone | 8472159490 |
| Practice Fax Number | 8472159632 |
| Mailing Telephone | 8472159490 |
| Mailing Fax Number | 8472159632 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | ALLAN BROWNE (PRESIDENT) |
| Authorized Official Telephone | 8472159490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
========= | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | IL | Suppliers |
| Street Address |
555 N WOLF RD |
| City | WHEELING |
| State | IL |
| Zip Code | 60090-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| Find all providers in zip 60090 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568731479 | North Star Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 143 Shadowbend Dr, Wheeling, IL 60090-3151 | 2011-12-21 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1528353026 | North Star Dme &dental Lab Inc. | Durable Medical Equipment & Medical Supplies | 559 N Wolf Rd, Wheeling, IL 60090-3027 | 2011-06-13 |
| 1609108356 | Medwellrx II LLC | Durable Medical Equipment & Medical Supplies | 600 Northgate Pkwy Ste C, Wheeling, IL 60090-3201 | 2010-02-05 |
| 1982857637 | Dasco Hme, LLC | Durable Medical Equipment & Medical Supplies | 1021 National Rd Ste 600, Wheeling, WV 26003-5779 | 2008-10-28 |
| 1245408012 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 620 National Road, Wheeling, WV 26003-6560 | 2008-02-14 |
| 1316138035 | Lava Supply, Inc | Durable Medical Equipment & Medical Supplies | 303 E Dundee Rd, Wheeling, IL 60090-3107 | 2007-08-07 |
| 1750411138 | First Line Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 81a S Milwaukee Ave, Wheeling, IL 60090 | 2007-03-06 |
| 1932266194 | Lifetec, Inc. | Durable Medical Equipment & Medical Supplies | 1710 S Wolf Rd, Wheeling, IL 60090-6517 | 2007-01-03 |
| Find all providers in WHEELING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.