CENTRAD HEALTHCARE LLC NPI 1346243979

NPI Information

NPI: 1346243979
Provider Name: CENTRAD HEALTHCARE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
184 SHUMAN BLVD
STE 130
NAPERVILLE, IL
ZIP 60563
Phone: (630) 369-5840
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CENTRAD HEALTHCARE LLC is a durable medical equipment medical supplies in Naperville, 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. CENTRAD HEALTHCARE LLC NPI is 1346243979. The provider is registered as an organization entity type.

The provider's business location address is:

184 SHUMAN BLVD
STE 130
NAPERVILLE, IL
ZIP 60563-474
Phone: (630) 369-5840
Fax: (630) 369-5436

The provider's authorized official is William R Korslin .
The authorized official title is President, Ceo and has the following contact phone number (630) 369-5840.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 12/6/2011.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		203-000502	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MS284IL	MEDICAID	ALASKA
2	003107879	MEDICAID	CONNECTICUT
3	1431532	MEDICAID	LOUISIANA
4	75 871044 01	MEDICAID	KANSAS
5	=========001	MEDICAID	ILLINOIS
6	200287520A	MEDICAID	INDIANA
7	221343500	MEDICAID	MINNESOTA
8	520115	MEDICAID	ARKANSAS
9	8251002 00	MEDICAID	MARYLAND
10	=========54	MEDICAID	NEBRASKA
11	1323730001	MEDICARE NSC	ILLINOIS
12	009974810	MEDICAID	ALABAMA
13	0530980	MEDICAID	IOWA
14	52482	MEDICAID	NORTH DAKOTA
15	02230052	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
16	02163179	MEDICAID	NEW YORK
17	00440846	MEDICAID	MISSISSIPPI
18	8705402	MEDICAID	NEW JERSEY
19	00876191A	MEDICAID	GEORGIA
20	18130372	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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