El-Elyon Medical Supply, Llc

LBN: El-Elyon Medical Supply, Llc
El-Elyon Medical Supply, Llc is an health care organization with primary practice located at 2307 Oak Ln Ste # 106, Grand Prairie TX 75051-4885. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. El-Elyon Medical Supply, Llc can be contacted via phone (972) 266-2030, or through Feyisetan, Beatrice via phone (972) 266-2030.

Contact Information

Primary practice address
2307 Oak Ln Ste # 106 Grand Prairie TX 75051-4885
Phone: (972) 266-2030
Fax: (972) 266-0355
Website:
Map and Directions
Authorized official contact:
Name: Feyisetan, Beatrice
Phone: (972) 266-2030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0083793 Texas

Profile Details

NPI number 1710977996
LBN Legal business name El-Elyon Medical Supply, Llc
DBA Doing business as El-Elyon Medical Supply, Llc
Authorized official Feyisetan, Beatrice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710977996 NPPES
Texas MEDICAID 169961301
Texas MEDICAID 169961302

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