Active NPI
Heart Sail
- Durable Medical Equipment & Medical Supplies
- Hartselle, AL
National Provider Identifier
1013211499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEART SAIL
- Practice address
- 107 Sycamore St NW
Hartselle, AL 35640-2427 - Phone
- (256) 309-5454
- Fax
- (256) 309-5455
- NPI assigned
- Dec 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Letson
- Title
- Chairman
- Phone
- (256) 309-5454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | AL | Primary |
Addresses
Primary practice location
107 Sycamore St NW
Hartselle, AL 35640-2427
Mailing address
PO Box 1672
Hartselle, AL 35640-8672
Phone (256) 309-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143076 | Medicaid | AL |
Other names 1
- Heart Sail Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111122000783 | AL | DME Supplier - Medical Supply Company | 9739353095 | Practice locations: Hartselle, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heart Sail | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelcha… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
107 Sycamore St NW
Hartselle, AL 35640
Phone (256) 309-5454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1013211499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1672",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356408672",
"telephone_number": "256-309-5454",
"fax_number": "256-309-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SYCAMORE ST NW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402427",
"telephone_number": "256-309-5454",
"fax_number": "256-309-5455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART SAIL",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "LETSON",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "256-309-5454"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143076",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart Sail Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heart Sail Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.