Provider Demographics
NPI:1821601782
Name:HEALTHDEPOT DME, INC.
Entity Type:Organization
Organization Name:HEALTHDEPOT DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAMUN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-240-3633
Mailing Address - Street 1:251 E 5TH STREET
Mailing Address - Street 2:UNIT 1 SUITE 140
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2496
Mailing Address - Country:US
Mailing Address - Phone:347-240-3633
Mailing Address - Fax:347-240-3634
Practice Address - Street 1:251 E 5TH ST
Practice Address - Street 2:UNIT 1, SUITE 140
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2496
Practice Address - Country:US
Practice Address - Phone:347-240-3633
Practice Address - Fax:347-240-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies