Provider Demographics
NPI:1942581137
Name:HEALTH CARE DEPOT, INC
Entity Type:Organization
Organization Name:HEALTH CARE DEPOT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:ATIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-238-5191
Mailing Address - Street 1:14440 CHERRY LANE CT
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:301-238-5191
Mailing Address - Fax:
Practice Address - Street 1:14440 CHERRY LANE CT
Practice Address - Street 2:SUITE 115
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:301-238-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332B00000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies