Provider Demographics
NPI:1316184732
Name:ALLCARE MEDICAL SUPPLIES AND HEALTH SERVICES LLC.
Entity Type:Organization
Organization Name:ALLCARE MEDICAL SUPPLIES AND HEALTH SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:O
Authorized Official - Last Name:CHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-926-7371
Mailing Address - Street 1:5176 NC HIGHWAY 42 W
Mailing Address - Street 2:UNIT H
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-8471
Mailing Address - Country:US
Mailing Address - Phone:919-926-7371
Mailing Address - Fax:919-927-7379
Practice Address - Street 1:5176 NC HIGHWAY 42 WEST
Practice Address - Street 2:SUITE H
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8471
Practice Address - Country:US
Practice Address - Phone:919-926-7371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01491332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6259940001Medicare NSC