NPI Code Detail JSON Logo

1902424013 NPI number — COMFORT MEDICAL SUPPLIES INC

NPI Number: 1902424013
Health Care Provider/Practitioner: COMFORT MEDICAL SUPPLIES INC

Information about “1902424013” NPI (COMFORT MEDICAL SUPPLIES INC) exists in 1902424013 in HTML format HTML  |  1902424013 in plain Text format TXT  |  1902424013 in PDF (Portable Document Format) PDF  |  1902424013 in an XML format XML  formats.

NPI Number : 1902424013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902424013",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMFORT MEDICAL SUPPLIES INC",
    "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": "530 S PRINCETON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VILLA PARK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60181-2858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-796-1167",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2419 W JEFFERSON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOLIET",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60435-6462",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-796-1167",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2020",
    "LastUpdateDate": "07/06/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KHAN",
    "AuthorizedOfficialFirstName": "AAMIR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "630-796-1167",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BD1200X",
          "TaxonomyName": "Dialysis Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BN1400X",
          "TaxonomyName": "Nursing Facility Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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