Heal Harbor LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEAL HARBOR LLC

Practice address

25 1St Ave SW Ste a
Watertown, SD 57201-3507

Phone

(832) 610-3148

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bilal Khan, MANAGING MEMBER

Title

Managing Member

Phone

(832) 610-3148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1639054752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 N SAM HOUSTON PKWY E STE 150 PMB 159",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77396",
            "telephone_number": "832-610-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE SW STE A",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013507",
            "telephone_number": "832-610-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-610-3148",
        "authorized_official_credential": "MANAGING MEMBER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas John Harms, M.D.
• Kimberly A Haugen, PHD
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• Michael John Hawley, DDS MS
• Stephanie Hayunga, OTR/L
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• Durable Medical Equipment & Medical Supplies in Watertown, SD
• Providers in Watertown, SD by specialty
• Durable Medical Equipment & Medical Supplies in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.