Provider Demographics
NPI:1073335790
Name:HEALEND LLC
Entity type:Organization
Organization Name:HEALEND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOROZ
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-530-6853
Mailing Address - Street 1:19916 HILLSIDE AVE APT 7B
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2155
Mailing Address - Country:US
Mailing Address - Phone:781-530-6853
Mailing Address - Fax:
Practice Address - Street 1:19916 HILLSIDE AVE APT 7B
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2155
Practice Address - Country:US
Practice Address - Phone:781-530-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies