Provider Demographics
NPI:1285435776
Name:EQUIPCARE SUPPLIES LLC
Entity type:Organization
Organization Name:EQUIPCARE SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-293-4311
Mailing Address - Street 1:525 S PERRY PKWY APT 5
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-1674
Mailing Address - Country:US
Mailing Address - Phone:432-293-4311
Mailing Address - Fax:
Practice Address - Street 1:525 S PERRY PKWY APT 5
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-1674
Practice Address - Country:US
Practice Address - Phone:432-293-4311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies