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GOLDEN HEART MEDICAL SUPPLIES
NPI 1396925129
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since November 08, 2007
3380 E RUSSELL RD #104, LAS VEGAS, NV 89120(702) 487-6221(702) 487-6623 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden Heart Medical Supplies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN HEART MEDICAL SUPPLIES (NPI 1396925129) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since November 2007. The organization lists Deangelo D Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396925129
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEANGELO HENDERSON
Location Address3380 E RUSSELL RD #104Las Vegas, NV 89120-3402
Mailing Address3380 E Russell Rd #104Las Vegas, NV 89120-3402 · (702) 487-6221 · Fax (702) 487-6623
Phone(702) 487-6221
Fax(702) 487-6623
Organization SubpartNo
Authorized OfficialDeangelo D HendersonOwner · (702) 487-6221
Enumeration DateNovember 8, 2007
Last NPPES UpdateJuly 17, 2008
✔ NPI 1396925129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NV · MP00479
Definition
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.
3380 E RUSSELL RD #104, Las Vegas, NV 89120
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Other Names 1

Doing Business AsGolden Heart Medical Supplies

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deangelo Henderson's NPI number?

The NPI number for Deangelo Henderson is 1396925129. It was assigned to this organization in the NPPES registry on November 8, 2007. The provider is doing business as Golden Heart Medical Supplies.

Where is Deangelo Henderson located?

Deangelo Henderson is located at 3380 E Russell Rd #104, Las Vegas, NV 89120. The listed phone number is (702) 487-6221.

What is Deangelo Henderson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Deangelo Henderson was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.