Provider Demographics
NPI:1437103900
Name:HYGEIA MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:HYGEIA MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:STARER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-390-4300
Mailing Address - Street 1:9515 HOLSBERRY LANE
Mailing Address - Street 2:SUITE E
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1326
Mailing Address - Country:US
Mailing Address - Phone:850-430-0189
Mailing Address - Fax:850-438-4713
Practice Address - Street 1:9515 HOLSBERRY LANE
Practice Address - Street 2:SUITE E
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1326
Practice Address - Country:US
Practice Address - Phone:850-430-0189
Practice Address - Fax:850-438-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314000000X, 332BN1400X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA115331554AMedicaid
TX1890253 01Medicaid
NY4618680003Medicare NSC