Bolton Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0085013 Issued in TX

Legal business name

BOLTON HEALTHCARE, LLC

Practice address

321 E Spring St Ste 107B
Palestine, TX 75801-2900

Phone

(903) 723-2355

Fax

(903) 723-1580

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Roy H Bolton

Title

Owner

Phone

(903) 723-2355

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Guardian Angel Durable Medical Equipment Doing business as

Tax ID family

Bolton Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bolton Healthcare, L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe, TX
  • NPI 1598921124
  NPD tax ID

Locations

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1861658403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758390841",
            "telephone_number": "903-723-2355",
            "fax_number": "903-723-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E SPRING ST STE 107B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758012900",
            "telephone_number": "903-723-2355",
            "fax_number": "903-723-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-723-2355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0085013",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0085013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197874401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181024403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angel Durable Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BHH of Anderson County and Region, LLC
• Bio-Medical Applications of Texas, Inc.
• BKD Sterling House of Palestine, LLC
• Robert G Blackwell, M.D.
• Blessed Beginnings Birth Center
• Heather Elizabeth Boone, RN, BSN
• Danny Lee Bowman, MD
• Irma Campos Boyle, FNP
• Brad a. Brazeal MD PA
• Brandy Ricard, MD PA

• All providers in Palestine, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.