RELIABLE MEDICAL SUPPLIES (MEDICAL SUPPLIES, INC) NPI 1003003278
Durable Medical Equipment & Medical Supplies in Mundelein, IL
About RELIABLE MEDICAL SUPPLIES (MEDICAL SUPPLIES, INC)
Reliable Medical Supplies (medical Supplies, Inc) is a provider established in Mundelein, Illinois specializing in durable medical equipment & medical supplies. The NPI number of Reliable Medical Supplies (medical Supplies, Inc) is 1003003278 and was assigned on October 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Reliable Medical Supplies. The authorized official of this NPI record is Mr. Lenny Goldfarb (Owner)
| NPI | 1003003278 |
| Provider Name | RELIABLE MEDICAL SUPPLIES (MEDICAL SUPPLIES, INC) |
| Provider Location Address | 623 S LAKE ST MUNDELEIN, IL 60060 |
| Provider Mailing Address | 623 S LAKE ST MUNDELEIN, IL 60060 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | RELIABLE MEDICAL SUPPLIES |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-01-2007 |
| Last Update Date | 04-20-2008 |
Primary Taxonomy
| Taxonomy Code | 332B00000X |
| Classification | Durable Medical Equipment & Medical Supplies |
| Type | Suppliers |
| License State | IL |
| Taxonomy Description | 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. |
Business Address
RELIABLE MEDICAL SUPPLIES
623 S LAKE ST
MUNDELEIN, IL
ZIP 60060
Phone: (847) 566-0800
Fax: (847) 566-0866
Mailing Address
RELIABLE MEDICAL SUPPLIES
623 S LAKE ST
MUNDELEIN, IL
ZIP 60060
Phone: (847) 566-0800
Fax: (847) 566-0866
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| =========001 | MEDICAID (05) | IL |
| 1245000001 | MEDICARE NSC (07) | IL |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.