Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deangelo Henderson

Organization Durable Medical Equipment & Medical Supplies · NPI 1396925129

Deangelo Henderson is a Durable Medical Equipment & Medical Supplies in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007
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Practice location Address checks out

3380 E Russell Rd #104
Las Vegas, NV 89120-3402
Phone: (702) 487-6221
Fax: (702) 487-6623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence MP00479 (NV)

Record details

NPI number1396925129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deangelo Henderson — Owner · (702) 487-6221
Other names Golden Heart Medical Supplies
NPI enumeratedNovember 8, 2007
Last updated in NPPESJuly 17, 2008
Mailing address3380 E Russell Rd #104, Las Vegas, NV 89120-3402

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