HOME CARE DIABETES MEDICAL SUPPLY (NPI# 1619045317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619045317 |
| Entity Type | Organization |
| Organization Name | HOME CARE DIABETES MEDICAL SUPPLY |
| Other Organization Name | HOME CARE DIABETES SUPPLY |
| Practice Address |
1707 10th Fairway Dr Belleville IL 62220-4866 |
| Mailing Address |
Po Box 8429 Belleville IL 62222-8429 |
| Practice Telephone | 6182771628 |
| Practice Fax Number | 6182772856 |
| Mailing Telephone | 6182771628 |
| Mailing Fax Number | 6182772826 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-09-16 |
| Authorized Official Name | MRS. ROSE MARIE CHENAULT (MANAGER) |
| Authorized Official Telephone | 6182771628 |
| Authorized Official Credential | NONE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Home Care Diabetes Supply | Doing Business As Name - Organization |
| Street Address |
1707 10TH FAIRWAY DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| 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 |
|---|---|---|---|---|
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1831548122 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 41255 Coca Cola Dr., Belleville, MI 48111 | 2016-06-07 |
| 1699068627 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 597 Washington Ave, Belleville, NJ 07109 | 2011-05-24 |
| 1790074979 | Patricia Johnson | Durable Medical Equipment & Medical Supplies | 7266 Anna Dr, Belleville, MI 48111-5179 | 2011-03-28 |
| 1407091523 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5939 Belleville Crossing St, Belleville, IL 62226-3107 | 2008-12-03 |
| 1073776225 | Direct Medical, Incorporated | Durable Medical Equipment & Medical Supplies | 121 S Illinois St, Belleville, IL 62220-2129 | 2008-07-08 |
| 1104005578 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4201 N Belt W, Belleville, IL 62226-5613 | 2007-11-01 |
| 1497949531 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 5601 Belleville Crossing St, Belleville, IL 62226-3104 | 2007-08-31 |
| 1154544872 | Rossmore Pharmacy | Durable Medical Equipment & Medical Supplies | 338 Washington Ave, Belleville, NJ 07109-3249 | 2007-04-11 |
| 1285799031 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 9701 Belleville Rd, Belleville, MI 48111-1305 | 2006-12-22 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on HOME CARE DIABETES MEDICAL SUPPLY.
| 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.