Active NPI
Huntleigh Healthcare LLC
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1184740920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01172
- Legal business name
- HUNTLEIGH HEALTHCARE LLC
- Practice address
- 726 L Montana Drive
Charlotte, NC 28216 - Phone
- (704) 398-0989
- Fax
- (704) 398-0803
- NPI assigned
- Mar 22, 2007
- 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
- Mr. Robert S. Angel
- Title
- Pres.
- Phone
- (800) 223-1218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01172 | NC | Primary |
Addresses
Primary practice location
726 L Montana Drive
Charlotte, NC 28216
Mailing address
40 Christopher Way
Eatontown, NJ 07724-3327
Phone (800) 223-1218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2157 | Medicaid | SC | |
| 7703579 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Huntleigh Healthcare LLC
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Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1194842161
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- NPI 1205952348
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Locations
726 Montana Dr
Ste L
Charlotte, NC 28216
Phone (704) 398-0989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184740920",
"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": "726 L MONTANA DRIVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28216",
"telephone_number": "704-398-0989",
"fax_number": "704-398-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTLEIGH HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"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": "NC",
"license": "01172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE2157",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703579",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
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.