OrganizationActive
Deangelo Henderson
NPI 1396925129 · Durable Medical Equipment & Medical Supplies · Las Vegas, NV
Provider details
- NPI number
- 1396925129
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Deangelo Henderson, Owner(702) 487-6221
- License
- MP00479 (NV)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3380 E Russell Rd #104
Las Vegas, NV 89120-3402
Phone: (702) 487-6221
Fax: (702) 487-6623
Street-level locationGet directions
Mailing address
3380 E Russell Rd #104
Las Vegas, NV 89120-3402
Other names (DBA / former)
- Doing business as
- Golden Heart Medical Supplies
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.