Healthcare Provider Details

I. General information

NPI: 1437103900
Provider Name (Legal Business Name): HYGEIA MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9515 HOLSBERRY LANE SUITE E
PENSACOLA FL
32534-1326
US

IV. Provider business mailing address

9515 HOLSBERRY LANE SUITE E
PENSACOLA FL
32534-1326
US

V. Phone/Fax

Practice location:
  • Phone: 850-430-0189
  • Fax: 850-438-4713
Mailing address:
  • Phone: 850-430-0189
  • Fax: 850-438-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. MITCHELL STARER
Title or Position: PRESIDENT
Credential:
Phone: 914-390-4300