Provider Demographics
NPI:1417394537
Name:HEALTH CARE DEPOT, INC.
Entity Type:Organization
Organization Name:HEALTH CARE DEPOT, INC.
Other - Org Name:A1 DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-629-7311
Mailing Address - Street 1:14440 CHERRY LANE CT
Mailing Address - Street 2:STE 115
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:703-629-7311
Mailing Address - Fax:888-982-1363
Practice Address - Street 1:14440 CHERRY LANE CT
Practice Address - Street 2:STE 115
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:888-992-1363
Practice Address - Fax:888-982-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1271010002Medicare PIN
NJ1271010001Medicare PIN
VA1271010003Medicare PIN