Provider Demographics
NPI:1760746689
Name:PULMOCARE LLC
Entity Type:Organization
Organization Name:PULMOCARE LLC
Other - Org Name:PULMOCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:USMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-222-9581
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:GARRISONVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22463-0027
Mailing Address - Country:US
Mailing Address - Phone:703-221-8380
Mailing Address - Fax:703-221-5871
Practice Address - Street 1:18005 DUMFRIES SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2356
Practice Address - Country:US
Practice Address - Phone:703-221-8380
Practice Address - Fax:703-221-5871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X, 332B00000X
VA0206/009734332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service