Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1962401620 |
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| LBN Legal business name | HEALTHLINE MEDICAL EQUIPMENT LLC | ||||||||||||||||
| Authorized official | WENDY RUSSALESI - (CCO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 07/15/2005 | ||||||||||||||||
| Last updated | 10/14/2025 - About 8 months ago | ||||||||||||||||
| Identifiers |
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