Healthcare Provider Details

I. General information

NPI: 1629076922
Provider Name (Legal Business Name): HEALTH CARE PRODUCT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FORT MILL SQ STE I
FORT MILL SC
29715-2000
US

IV. Provider business mailing address

100 FORT MILL SQ STE I
FORT MILL SC
29715-2000
US

V. Phone/Fax

Practice location:
  • Phone: 803-548-1435
  • Fax: 803-548-1856
Mailing address:
  • Phone: 803-548-1435
  • Fax: 803-548-1856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateSC

VIII. Authorized Official

Name: MR. JEFFREY ROBERT BARDO
Title or Position: PRESIDENT, OWNER
Credential:
Phone: 704-661-2676