Provider Demographics
NPI:1932228897
Name:HANDIEQUIP LLC
Entity Type:Organization
Organization Name:HANDIEQUIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRICUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-267-3003
Mailing Address - Street 1:224 E PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-8534
Mailing Address - Country:US
Mailing Address - Phone:337-267-3003
Mailing Address - Fax:337-289-6600
Practice Address - Street 1:224 E PINHOOK RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-8534
Practice Address - Country:US
Practice Address - Phone:337-267-3003
Practice Address - Fax:337-289-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1017353Medicaid
LA1031208Medicaid
LA1017337Medicaid