Provider Demographics
NPI:1659608545
Name:CARRIER UNITED, INC.
Entity Type:Organization
Organization Name:CARRIER UNITED, INC.
Other - Org Name:AMERICARE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:SM
Authorized Official - Last Name:SHOKRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-901-8576
Mailing Address - Street 1:704 E THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6053
Mailing Address - Country:US
Mailing Address - Phone:805-777-1171
Mailing Address - Fax:805-777-1151
Practice Address - Street 1:704 E THOUSAND OAKS BLVD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6053
Practice Address - Country:US
Practice Address - Phone:805-777-1171
Practice Address - Fax:805-777-1151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54256332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5897680001Medicare NSC