Healthcare Provider Details

I. General information

NPI: 1346522919
Provider Name (Legal Business Name): HEALTH CARE DEPOT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7603 FOREST AVE SUITE 209
RICHMOND VA
23229-4942
US

IV. Provider business mailing address

14440 CHERRY LANE CT SUITE 115
LAUREL MD
20707-4946
US

V. Phone/Fax

Practice location:
  • Phone: 888-992-1363
  • Fax: 888-982-1363
Mailing address:
  • Phone: 888-992-1363
  • Fax: 888-982-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAVE PATEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 888-992-1363