Healthcare Provider Details

I. General information

NPI: 1588574719
Provider Name (Legal Business Name): AMMECARE MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W CAPITOL AVE STE 1731
LITTLE ROCK AR
72201-4825
US

IV. Provider business mailing address

400 W CAPITOL AVE STE 1700
LITTLE ROCK AR
72201-3438
US

V. Phone/Fax

Practice location:
  • Phone: 929-721-7906
  • Fax:
Mailing address:
  • Phone: 501-374-4692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AMNA ADEEL
Title or Position: OWNER
Credential:
Phone: 929-721-7906