Provider Demographics
NPI:1699904524
Name:HEALING MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:HEALING MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAUSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-626-0878
Mailing Address - Street 1:1100 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 11
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3132
Mailing Address - Country:US
Mailing Address - Phone:480-626-0878
Mailing Address - Fax:480-704-4355
Practice Address - Street 1:1100 N ALMA SCHOOL RD
Practice Address - Street 2:STE 11
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3132
Practice Address - Country:US
Practice Address - Phone:480-626-0878
Practice Address - Fax:480-704-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20462631332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6340290001Medicare NSC