NPI Code Detail JSON Logo

1174465637 NPI number — ALL CARE MEDICAL SUPPLIES CORP

NPI Number: 1174465637
Health Care Provider/Practitioner: ALL CARE MEDICAL SUPPLIES CORP

Information about “1174465637” NPI (ALL CARE MEDICAL SUPPLIES CORP) exists in 1174465637 in HTML format HTML  |  1174465637 in plain Text format TXT  |  1174465637 in PDF (Portable Document Format) PDF  |  1174465637 in an XML format XML  formats.

NPI Number : 1174465637 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174465637",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALL CARE MEDICAL SUPPLIES CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4343 211TH ST STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MATTESON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60443-2468",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-769-1737",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4343 211TH ST STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MATTESON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60443-2468",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-769-1737",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2026",
    "LastUpdateDate": "04/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "UDOETUK",
    "AuthorizedOfficialFirstName": "EME",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "708-769-1737",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.