Hays Medical Supply LLC Judson Sturdivant Sole MBR

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR

Doing business as

Parkcrest Medical Supply

Practice address

5508 Parkcrest Dr Ste 310
Austin, TX 78731-4915

Phone

(512) 697-9896

NPI assigned

Nov 15, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBRAs reported in NPPES

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

Authorized official

Name

Judson Sturdivant

Title

Ceo

Phone

(512) 697-9896

Specialties & licenses 1

Addresses

Other names 1

• Parkcrest Medical Supply Doing business as

Electronic endpoints 1

Tax ID family

Hays Medical Supply LLC Judson Sturdivant Sole MBR3 organizations share this tax ID, including this one

Part of

Hays Medical Supply LLC Judson Sturdivant Sole MBR

Other organizations with this tax ID 2

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

• Hays Medical Supply LLC Judson Sturdivant Sole MBR

  • Customized Equipment (DME)
  • Kyle, TX
  • NPI 1386245009
  NPD tax ID
• Hays Medical Supply LLC Judson Sturdivant Sole MBR

  dba The Sleep Center Of Austin

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1679175582
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hays Medical Supply LLC Judson Sturdivant Sole MBR

  • Customized Equipment (DME)
  • Kyle, TX
  • NPI 1386245009
  NPPES parent name

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1669074571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 PARKCREST DR STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 PARKCREST DR STE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314915",
            "telephone_number": "512-697-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYS MEDICAL SUPPLY LLC JUDSON STURDIVANT SOLE MBR",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "STURDIVANT",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-697-9896"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.azaleahealth.com/lp/patientportal/",
            "affiliation": "Y",
            "affiliationName": "Hays Medical Supply LLC Judson Sturdivant Sole MBR",
            "address_1": "1101 Bunton Creek Road",
            "address_2": "Ste 100 B",
            "city": "Kyle",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786402351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Parkcrest Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Christelle Haynes, M.S., CCC-SLP
• Nichelle Haynes, D.O.
• Pamela Haynes, LCSW
• Shaunice Haynes
• Susan Craig Haynes, A.P.N.
• Hays Medical Supply LLC Judson Sturdivant Sole MBR (The Sleep Center Of Austin)
• Amanda Hays, MS, RDN, LD
• Amy Arendell Hays, LCSW
• Christie Bryan Hays, MA, LPC-INTERN
• Drew Hays, RD

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.