MEDICARE: HEALTHLINE MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	335E00000X	Prosthetic/Orthotic Supplier
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073134805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHLINE MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 N SAM HOUSTON PKWY W STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086-1473
Country	:	US
Telephone Number	:	281-204-2164
Fax Number	:

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	05/04/2020
Last Update Date	:	06/01/2026

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