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MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC NPI 1538782172


NPI Information

NPI: 1538782172
Provider Name: MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 14D2258131

Address:
2875 N WATER ST
DECATUR, IL
ZIP 62526
Phone: (217) 876-4040
Get Directions

MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC is a durable medical equipment medical supplies in Decatur, IL. The provider is 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. MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC NPI is 1538782172. The provider is registered as an organization entity type.

The provider's business location address is:

2875 N WATER ST
DECATUR, IL
ZIP 62526-233
Phone: (217) 876-4040
Fax: (217) 876-4075

The provider's authorized official is Lori Valentine .
The authorized official title is Director, Dme and has the following contact phone number (800) 582-8667.

The CLIA number assigned to this NPI record is 14D2258131 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2020 and was last updated on 5/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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