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EL-ELYON MEDICAL SUPPLY LLC NPI 1710977996


NPI Information

NPI: 1710977996
Provider Name: EL-ELYON MEDICAL SUPPLY, LLC

Doing Business As: EL-ELYON MEDICAL SUPPLY, LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2307 OAK LN
STE # 106
GRAND PRAIRIE, TX
ZIP 75051
Phone: (972) 266-2030
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EL-ELYON MEDICAL SUPPLY, LLC is a durable medical equipment medical supplies in Grand Prairie, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EL-ELYON MEDICAL SUPPLY, LLC NPI is 1710977996. The provider is registered as an organization entity type.
The provider Is Doing Business As El-elyon Medical Supply, Llc.

The provider's business location address is:

2307 OAK LN
STE # 106
GRAND PRAIRIE, TX
ZIP 75051-885
Phone: (972) 266-2030
Fax: (972) 266-0355

The provider's authorized official is Beatrice Feyisetan .
The authorized official title is Owner and has the following contact phone number (972) 266-2030.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 3/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies0083793TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15139940001MEDICARE NSCTEXAS
2169961301MEDICAIDTEXAS
3169961302MEDICAIDTEXAS
4=========OTHERTEXASEIN #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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