OrganizationActive
Advanced Medical Homecare Supply, Inc
NPI 1295939981 · Durable Medical Equipment & Medical Supplies · Peoria, IL
Provider details
- NPI number
- 1295939981
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Humphrey, President(309) 691-3600
- License
- 2902-3841 (IL)
Specialties & taxonomies
Suppliers
Practice location
4918 N Sheridan Rd
Peoria, IL 61614-4853
Phone: (309) 691-3600
Fax: (309) 691-5500
Approximate (ZIP-level) locationGet directions
Mailing address
4918 N Sheridan Rd
Peoria, IL 61614-4853
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.