Organization
HEALTHLINE MEDICAL EQUIPMENT LLC
Active
Other names
Healthline
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
815 SANTA FE DR STE 300, WEATHERFORD, TX 76086-6523
(682) 219-0533
(817) 594-6054
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0046415
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0046415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145411801
—
TX
05
—
145412601
—
TX
Enumeration date
07/18/2005
Last updated
07/15/2026
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