Provider Demographics
NPI:1912021171
Name:HEALTH MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:HEALTH MANAGEMENT SERVICES, INC.
Other - Org Name:SLEEP APNEA STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-766-9352
Mailing Address - Street 1:5758 ESSEN LN STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1109
Mailing Address - Country:US
Mailing Address - Phone:225-766-9352
Mailing Address - Fax:225-766-7416
Practice Address - Street 1:4111 W 26TH ST
Practice Address - Street 2:STE 100 W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4313
Practice Address - Country:US
Practice Address - Phone:847-882-2516
Practice Address - Fax:847-882-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203-000222332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1912021171001Medicaid
IL1912021171001Medicaid