LEDDY MEDICAL SUPPLY, INC (NPI# 1619088762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619088762 |
| Entity Type | Organization |
| Organization Name | LEDDY MEDICAL SUPPLY, INC |
| Practice Address |
1049 Industrial Blvd Suite 100 Abilene TX 79602-7931 |
| Mailing Address |
Po Box 3495 Abilene TX 79604-3495 |
| Practice Telephone | 3256767329 |
| Practice Fax Number | 3256767378 |
| Mailing Telephone | 3256767329 |
| Mailing Fax Number | 3256767378 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENT LEDDY (PRESIDENT/CEO) |
| Authorized Official Telephone | 3256767329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1049 INDUSTRIAL BLVD SUITE 100 |
| City | ABILENE |
| State | TX |
| Zip Code | 79602-7931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026734 | Chris Miller | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-28 |
| 1760014245 | Marissa Mcclellan | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-12 |
| 1376175125 | Camryn Layne Brown | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
| 1104458868 | Sara Moore | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285138206 | Connie Y Benfield Phd Pllc | Psychologist | 100 Chestnut St Ste 112, Abilene, TX 79602 | 2018-03-23 |
| 1356891931 | Op Operations IIi, LLC | Skilled Nursing Facility | 1201 Clarks Drive, Abilene, TX 79602 | 2016-10-07 |
| 1225400112 | Sabrina Roxanne Elliott | Midwife | 1233 Nottingham Rd, Abilene, TX 79602 | 2015-10-30 |
| 1447678859 | Ryan Hebert | Private Vehicle | 290 East Ammo Rd, Dyess Afb, TX 79602 | 2014-04-02 |
| 1083922009 | Catherine R Lenhert | Counselor | 1111 Industrial Blvd #2, Abilene, TX 79602 | 2010-09-24 |
| 1598077828 | Edwyna Ann Watson | Counselor | 1500 Industrial Blvd. Suite 220, Lighthouse Counseling, Abilene, TX 79602 | 2010-07-01 |
| 1891912614 | Murriell M Dorden-gerardo | Lodging | 6981 Maple Street, Abilene, TX 79602 | 2007-04-20 |
| 1588721898 | Frances Martin Wiman | Counselor | 111 Industrial Blvd, Bldg 2, Abilene, TX 79602 | 2007-01-03 |
| 1982779682 | Patsy Joann Massey | Counselor | 1219 E S 11th, Ste A Freedom Counseling Center, Abilene, TX 79602 | 2006-11-21 |
| 1811094386 | Imran A Yazdani | Internal Medicine | 4225 Woods Place, Abilene, TX 79602 | 2006-09-19 |
| Find all providers in zip 79602 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874145 | Kenneth Glenn Lain | Durable Medical Equipment & Medical Supplies | 4351 Ridgemont Dr Ste C, Abilene, TX 79606-8747 | 2016-11-23 |
| 1801344874 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1619 Ambler Ave, Abilene, TX 79601-2235 | 2016-09-19 |
| 1073904637 | Miracle Deeds Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 729 S Leggett Dr, Abilene, TX 79605-3831 | 2015-02-18 |
| 1194080267 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1005 N. Judge Ely Blvd., Abilene, TX 79601-3853 | 2012-07-05 |
| 1144516956 | Travis Medical Sales Corp | Durable Medical Equipment & Medical Supplies | 4397 Crawford Dr, Abilene, TX 79602-7827 | 2011-06-21 |
| 1497055826 | Amy Nicole Cowart | Durable Medical Equipment & Medical Supplies | 1233 Tracy Lynn St, Suite C, Abilene, TX 79601-6249 | 2010-11-02 |
| 1992020135 | Texas Oxycare, Inc. | Durable Medical Equipment & Medical Supplies | 2401 S Willis St Ste 107, Abilene, TX 79605-6248 | 2010-03-31 |
| 1487787529 | West Texas Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 4545 Hartford St, Abilene, TX 79605-4602 | 2007-03-14 |
| 1871637231 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 3474 Catclaw Dr, Suite A-catclaw Shopping Cemter, Abilene, TX 79606-8234 | 2007-02-19 |
| 1770664203 | Auburn Pharmacy Abilene LLC | Durable Medical Equipment & Medical Supplies | 1518 N Buckeye Ave, Abilene, KS 67410-1538 | 2006-10-18 |
| Find all providers in ABILENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.