AMANDA LEWIS ENTERPRISES LTD (NPI# 1376040451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376040451 |
Entity Type | Organization |
Organization Name | AMANDA LEWIS ENTERPRISES LTD |
Practice Address |
3250 N Woodford St Decatur IL 62526-2836 |
Practice Telephone | 2178771742 |
Mailing Telephone | 2178771742 |
Enumeration Date | 2018-04-06 |
Last Update Date | 2018-04-06 |
Authorized Official Name | AMANDA LEWIS (OWNER) |
Authorized Official Telephone | 2178771742 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
Street Address |
3250 N WOODFORD ST |
City | DECATUR |
State | IL |
Zip Code | 62526-2836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013931161 | Ricky Dean Simms | Dentist | 3250 N Woodford St, Decatur, IL 62526-2836 | 2006-07-26 |
1053335109 | Gary Lee Simms | Dentist | 3250 N Woodford St, Decatur, IL 62526-2836 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629433149 | Pro Medical | Durable Medical Equipment & Medical Supplies | 315 W Ponce De Leon Ave Ste 1045, Decatur, GA 30030 | 2015-12-28 |
1730366485 | Concourse Bracing & Orthotics | Durable Medical Equipment & Medical Supplies | 2183 Ramblewood Cir, Decatur, GA 30035-3644 | 2008-01-24 |
1386836559 | Burgess Health Center | Durable Medical Equipment & Medical Supplies | 823 S Broadway St, Decatur, NE 68020-2000 | 2007-08-13 |
1912969882 | Rhema Inc | Durable Medical Equipment & Medical Supplies | 1208-c Hwy 51 South, Decatur, TX 76234 | 2006-04-05 |
1275142614 | Across Specialty Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 2579 Lawrenceville Hwy Ste A, Decatur, GA 30033-3206 | 2020-07-30 |
1760684609 | Georgia Spine & Neurosurgery Center LLC | Durable Medical Equipment & Medical Supplies | 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 | 2007-06-04 |
1972627396 | Georgia Spine & Neurosurgery Center, LLC | Durable Medical Equipment & Medical Supplies | 2675 N Decatur Rd, Suite 710, Decatur, GA 30033-6131 | 2007-03-19 |
1295862779 | Georgia Ophthalmology Assoc PC | Durable Medical Equipment & Medical Supplies | 465 Winn Way, Suite 140, Decatur, GA 30030-1753 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894528 | Sleepsafellc | Durable Medical Equipment & Medical Supplies | 701 Lee St Ste 640, Des Plaines, IL 60016-4548 | 2020-06-05 |
1801416045 | Midwest Coach Builders, Inc | Durable Medical Equipment & Medical Supplies | 200 Easy St Ste I, Carol Stream, IL 60188-2399 | 2020-04-17 |
1154962389 | Windy City Medtek LLC | Durable Medical Equipment & Medical Supplies | 1305 Remington Rd Ste E, Schaumburg, IL 60173-4820 | 2019-09-29 |
1811452501 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2863 95th St Ste 143, Naperville, IL 60564-9006 | 2019-02-06 |
1760951818 | Always Great Smiles Dot Com PC | Durable Medical Equipment & Medical Supplies | 586 Duane St, Glen Ellyn, IL 60137-4639 | 2018-11-19 |
1285123349 | Sleep Better Illinois LLC | Durable Medical Equipment & Medical Supplies | 261 N Randall Rd Ste 103, Lake In The Hills, IL 60156-5999 | 2018-05-04 |
1588151302 | Rinella Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 27w130 Roosevelt Rd # 2e, Winfield, IL 60190-1611 | 2018-04-17 |
1205353695 | Nutoys Leisure Products, Inc. | Durable Medical Equipment & Medical Supplies | 915 W Hillgrove Ave, La Grange, IL 60525-5823 | 2017-08-25 |
1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
1508303553 | Kasper Healthcare Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 11535 183rd Pl, Orland Park, IL 60467-4905 | 2017-01-30 |
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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.