Provider Demographics
NPI:1932169927
Name:MERITUS ENTERPRISES,INC.
Entity Type:Organization
Organization Name:MERITUS ENTERPRISES,INC.
Other - Org Name:EQUIPPED FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:A
Authorized Official - Last Name:REPAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-790-9351
Mailing Address - Street 1:525 DUAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5715
Mailing Address - Country:US
Mailing Address - Phone:301-714-0200
Mailing Address - Fax:301-739-8533
Practice Address - Street 1:525 DUAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5715
Practice Address - Country:US
Practice Address - Phone:301-714-0200
Practice Address - Fax:301-739-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1181332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD376848100Medicaid
MD376848100Medicaid
0391030001Medicare NSC