Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Source Direct Medical Supply, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1952014516

Source Direct Medical Supply, Inc is a Durable Medical Equipment & Medical Supplies in Merrillville, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 W 84th Dr Ste C
Merrillville, IN 46410-5694
Phone: (219) 472-8091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1952014516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caroline Jackson — President · (219) 472-8091
Other names Source Direct Medical Supply, Inc
NPI enumeratedDecember 28, 2022
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address509 W 84th Dr Ste C, Merrillville, IN 46410-5694

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