Healthcare Provider Details

I. General information

NPI: 1982491841
Provider Name (Legal Business Name): PRIMECARE MEDICAL EQUIPMENT AND SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3962 BROWN PARK DR STE E
HILLIARD OH
43026-1162
US

IV. Provider business mailing address

3962 BROWN PARK DR STE E
HILLIARD OH
43026-1162
US

V. Phone/Fax

Practice location:
  • Phone: 216-342-7908
  • Fax: 216-503-2924
Mailing address:
  • Phone:
  • 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: MR. ABDUL J KHAN
Title or Position: CHEIF OPERATING OFFICER
Credential:
Phone: 614-804-6516