=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639949084
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE MED SUPPLY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2024
-----------------------------------------------------
Last Update Date | 04/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3030 PS BUSINESS CENTER DR
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22192-4243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-460-0269
-----------------------------------------------------
Fax | 571-350-3174
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3030 PS BUSINESS CENTER DR
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22192-4243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-460-0269
-----------------------------------------------------
Fax | 571-350-3174
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MUHAMMAD AAMIR NAWAZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 571-460-0269
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------