NPI Code Details Logo

NPI 1477053049

NPI 1477053049 : IN-HALE LLC : LINDALE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477053049
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    IN-HALE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/20/2018
-----------------------------------------------------
    Last Update Date     |    03/23/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1414 S MAIN ST STE B8 
-----------------------------------------------------
    City                 |    LINDALE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75771-6560
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    430-235-2088
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 2084 
-----------------------------------------------------
    City                 |    LINDALE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75771-2084
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    430-235-2088
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER
-----------------------------------------------------
    Name                 |     ASHLEY  WILLIAMSON 
-----------------------------------------------------
    Credential           |    MBA
-----------------------------------------------------
    Telephone            |    903-472-3466
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BC3200X
-----------------------------------------------------
    Taxonomy Name        |    Customized Equipment (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332BD1200X
-----------------------------------------------------
    Taxonomy Name        |    Dialysis Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    332BN1400X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Facility Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    332BP3500X
-----------------------------------------------------
    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.