Healthcare Provider Details
I. General information
NPI: 1295852259
Provider Name (Legal Business Name): HUNTLEIGH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8439 QUIVIRA RD
LENEXA KS
66215-2802
US
IV. Provider business mailing address
40 CHRISTOPHER WAY
EATONTOWN NJ
07724-3327
US
V. Phone/Fax
- Phone: 913-492-8455
- Fax: 913-492-8478
- Phone: 800-223-1218
- Fax: 732-676-1096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROBERT
S.
ANGEL
Title or Position: PRES.
Credential:
Phone: 800-223-1218