MEDICARE: HANDIEQUIP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932228897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDIEQUIP LLC

Provider Business Mailing Address
First Line	:	224 E PINHOOK RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-8534
Country	:	US
Telephone Number	:	337-267-3003
Fax Number	:	337-289-6600

Provider Business Practice Location Address
First Line	:	224 E PINHOOK RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-8534
Country	:	US
Telephone Number	:	337-267-3003
Fax Number	:	337-289-6600

Authorized Official
Title or Position	:	MANAGER
Name	:	LEE CARRICUT
Credential	:
Telephone Number	:	337-267-3003

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	04/24/2008

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Directions to “HANDIEQUIP LLC ” Practice Location

Language	Start Address	Practice Location

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