Provider Demographics
NPI:1063498442
Name:HLS HOME MEDICAL EQUIPMENT LP
Entity Type:Organization
Organization Name:HLS HOME MEDICAL EQUIPMENT LP
Other - Org Name:HLS HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRADTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-759-6155
Mailing Address - Street 1:3207 W ALBERTA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9635
Mailing Address - Country:US
Mailing Address - Phone:956-992-8855
Mailing Address - Fax:956-992-8865
Practice Address - Street 1:3207 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9635
Practice Address - Country:US
Practice Address - Phone:956-992-8855
Practice Address - Fax:956-992-8865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 335E00000X
TX0076218332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170032001Medicaid
TX531672OtherBLUE CROSS BLUE SHILED
TX82664OtherNORTHWOOD
TX170032002Medicaid
TX134722100OtherVALLEY BAPTIST HEALTH
TX5169430001Medicare NSC