Provider Demographics
NPI:1205269628
Name:EQUIPPED 2 CARE LLC
Entity type:Organization
Organization Name:EQUIPPED 2 CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-724-0124
Mailing Address - Street 1:1025 E MAIN ST
Mailing Address - Street 2:STE 102
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2495
Mailing Address - Country:US
Mailing Address - Phone:281-724-0124
Mailing Address - Fax:
Practice Address - Street 1:1025 E MAIN ST
Practice Address - Street 2:STE 102
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2495
Practice Address - Country:US
Practice Address - Phone:281-724-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001196332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7215560001Medicare NSC