Provider Demographics
NPI:1194842161
Name:HUNTLEIGH HEALTHCARE LLC
Entity Type:Organization
Organization Name:HUNTLEIGH HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-223-1218
Mailing Address - Street 1:40 CHRISTOPHER WAY
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3327
Mailing Address - Country:US
Mailing Address - Phone:800-223-1218
Mailing Address - Fax:732-676-1096
Practice Address - Street 1:6830 N ELDRIDGE PKWY
Practice Address - Street 2:SUITE 306
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-2625
Practice Address - Country:US
Practice Address - Phone:713-983-0924
Practice Address - Fax:713-983-0950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0072545332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82-00336OtherEVERCARE
TX82-00336OtherEVERCARE