QUEEN OF ANGELS MEDICAL SUPPLY INC
NPI 1417424797
Durable Medical Equipment & Medical Supplies in North Hollywood, CA

Active since October 25, 2018
12154 HAMLIN ST, NORTH HOLLYWOOD, CA 91606(818) 760-2156(818) 942-7059 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2021, Oct 26, 2018 (2 updates tracked since 2018).

About Queen Of Angels Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEEN OF ANGELS MEDICAL SUPPLY INC (NPI 1417424797) is a healthcare organization registered as a durable medical equipment & medical supplies in North Hollywood, California and active in the NPI registry since October 2018. The organization lists Khrist Kakosimidi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417424797
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameQUEEN OF ANGELS MEDICAL SUPPLY INC
Location Address12154 HAMLIN STNorth Hollywood, CA 91606-1409
Mailing Address12154 Hamlin StNorth Hollywood, CA 91606-1409 · (818) 760-2156 · Fax (818) 942-7059
Fax(818) 942-7059
Organization SubpartNo
Authorized OfficialKhrist KakosimidiCeo · (818) 760-2156
Enumeration DateOctober 25, 2018
Last NPPES UpdateDecember 29, 20232 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
NPI 1417424797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

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.

12154 HAMLIN ST, North Hollywood, CA 91606

Other Identifiers 1

Medicaid1487685137CA

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Queen Of Angels Medical Supply, Inc carries, from the Medicare DMEPOS supplier directory.

Queen Of Angels Medical Supply, Inc

DMEPOS supplier · North Hollywood, CA

Accepts Medicare assignment

Queen Of Angels Medical Supply, Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20451827
Medicare Participant SinceNovember 26, 2018
Supplier Location12154 Hamlin StNorth Hollywood, CA 91606
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
12154 HAMLIN ST
NORTH HOLLYWOOD, CA 91606
Durable Medical Equipment & Medical Supplies
12154 HAMLIN ST
NORTH HOLLYWOOD, CA 91606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queen Of Angels Medical Supply Inc's NPI number?

The NPI number for Queen Of Angels Medical Supply Inc is 1417424797. It was assigned to this organization in the NPPES registry on October 25, 2018.

Where is Queen Of Angels Medical Supply Inc located?

Queen Of Angels Medical Supply Inc is located at 12154 Hamlin St, North Hollywood, CA 91606. The listed phone number is (818) 760-2156.

What is Queen Of Angels Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Queen Of Angels Medical Supply Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Queen Of Angels Medical Supply, Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Queen Of Angels Medical Supply Inc was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.