Provider Demographics
NPI:1982621470
Name:PARADAPT EQUPIMENT SERVICES INC
Entity Type:Organization
Organization Name:PARADAPT EQUPIMENT SERVICES INC
Other - Org Name:PARADAPT EQUIPMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-722-7700
Mailing Address - Street 1:1927 E PEMBROKE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-1325
Mailing Address - Country:US
Mailing Address - Phone:757-722-7700
Mailing Address - Fax:757-722-7926
Practice Address - Street 1:1927 E PEMBROKE AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23663-1325
Practice Address - Country:US
Practice Address - Phone:757-722-7700
Practice Address - Fax:757-722-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0894560001Medicare ID - Type Unspecified