Provider Demographics
NPI:1629076922
Name:HEALTH CARE PRODUCT SOLUTIONS
Entity Type:Organization
Organization Name:HEALTH CARE PRODUCT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-661-2676
Mailing Address - Street 1:100 FORT MILL SQ
Mailing Address - Street 2:STE I
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-2000
Mailing Address - Country:US
Mailing Address - Phone:803-548-1435
Mailing Address - Fax:803-548-1856
Practice Address - Street 1:100 FORT MILL SQ
Practice Address - Street 2:STE I
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-2000
Practice Address - Country:US
Practice Address - Phone:803-548-1435
Practice Address - Fax:803-548-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1291810001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER