Active NPI
Healthline Medical Equipment LLC
Doing business as Healthline
- Oxygen Equipment & Supplies (DME)
- Mineral Wells, TX
National Provider Identifier
1801895511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0038285
- Legal business name
- HEALTHLINE MEDICAL EQUIPMENT LLC
- Doing business as
- Healthline
- Practice address
- 109 SE 9TH Ave
Mineral Wells, TX 76067-5442 - Phone
- (940) 325-1444
- Fax
- (940) 325-1632
- NPI assigned
- Jul 15, 2005
- Last updated
- Jun 14, 2020
- 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
- Luke McGee
- Title
- President
- Phone
- (646) 880-0473
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0038285 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0038285 | TX | Primary |
Addresses
Primary practice location
109 SE 9TH Ave
Mineral Wells, TX 76067-5442
Mailing address
220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145530501 | Medicaid | TX | |
| 145529701 | Medicaid | TX |
Other names 1
- Healthline
National Provider Directory
National Provider DirectoryLocations
109 SE 9th Ave
Mineral Wells, TX 76067
Phone (940) 325-1444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592092800000",
"number": "1801895511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W GERMANTOWN PIKE STE 250",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SE 9TH AVE",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760675442",
"telephone_number": "940-325-1444",
"fax_number": "940-325-1632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHLINE MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2020-06-14",
"certification_date": "2020-06-14",
"status": "A",
"authorized_official_last_name": "MCGEE",
"authorized_official_first_name": "LUKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-880-0473"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0038285",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0038285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145530501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145529701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthline",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Healthline",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.