Provider Demographics
NPI:1356467484
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 1:3752 IMPERIAL ST
Practice Address - Street 2:UNIT D
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80516-9468
Practice Address - Country:US
Practice Address - Phone:303-833-4811
Practice Address - Fax:303-833-3347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03678369Medicaid
CO5329190020Medicare ID - Type Unspecified