Provider Demographics
NPI:1235769837
Name:HEALTHCARE COMP LLC
Entity Type:Organization
Organization Name:HEALTHCARE COMP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-231-9311
Mailing Address - Street 1:530 S RONALD REAGAN BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5485
Mailing Address - Country:US
Mailing Address - Phone:800-231-9311
Mailing Address - Fax:
Practice Address - Street 1:530 S RONALD REAGAN BLVD STE 132
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5485
Practice Address - Country:US
Practice Address - Phone:800-231-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
000OtherNOT APPLICABLE