NPIMap

Organization Active NPI

Huntleigh Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Wixom, MI
National Provider Identifier
1063538189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HUNTLEIGH HEALTHCARE LLC
Practice address
49684 Martin Dr
Wixom, MI 48393-2400
Phone
(248) 669-0142
Fax
(248) 669-0143
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert S Angel
Title
Pres.
Phone
(800) 223-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

49684 Martin Dr
Wixom, MI 48393-2400

Mailing address

40 Christopher Way
Eatontown, NJ 07724-3327
Phone (800) 223-1218

Other identifiers 1

IdentifierTypeStateIssuer
4561520MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Huntleigh Healthcare LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

49684 Martin Dr
Wixom, MI 48393
Phone (248) 669-0142

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063538189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHRISTOPHER WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243327",
            "telephone_number": "800-223-1218",
            "fax_number": "732-676-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49684 MARTIN DR",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932400",
            "telephone_number": "248-669-0142",
            "fax_number": "248-669-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLEIGH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "800-223-1218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4561520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.