HIDEAWAY HEALTH TABLE LLC NPI 1043874068

Durable Medical Equipment & Medical Supplies in Owens Cross Roads, AL

NPI 1043874068 Organization Durable Medical Equipment & Medical Supp...

About HIDEAWAY HEALTH TABLE LLC

Hideaway Health Table Llc is a provider established in Owens Cross Roads, Alabama specializing in durable medical equipment & medical supplies. The NPI number of Hideaway Health Table Llc is 1043874068 and was assigned on April 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Gregory Gilliland Pta (Owner)

NPI

1043874068

Provider NameHIDEAWAY HEALTH TABLE LLC
Provider Location Address4817 BROWNSTON CT SE OWENS CROSS ROADS, AL 35763
Provider Mailing Address4817 BROWNSTON CT SE OWENS CROSS ROADS, AL 35763
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-24-2019
Last Update Date04-24-2019


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA 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.

Business Address

HIDEAWAY HEALTH TABLE LLC
4817 BROWNSTON CT SE
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 426-3593

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Mailing Address

HIDEAWAY HEALTH TABLE LLC
4817 BROWNSTON CT SE
OWENS CROSS ROADS, AL
ZIP 35763
Phone: (256) 426-3593



Authorized Official

Authorized Official NameMR. GREGORY GILLILAND PTA
Authorized Official TitleOWNER
Authorized Official Phone(256) 426-3593

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.