Provider Demographics
NPI:1134226400
Name:AMERICAN CARE PRODUCTS , INC.
Entity type:Organization
Organization Name:AMERICAN CARE PRODUCTS , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:HAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-863-5919
Mailing Address - Street 1:605 LYNN AVE # C
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-4735
Mailing Address - Country:US
Mailing Address - Phone:228-863-5919
Mailing Address - Fax:228-868-7240
Practice Address - Street 1:4408 15TH ST
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2526
Practice Address - Country:US
Practice Address - Phone:228-863-5919
Practice Address - Fax:228-868-7240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
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
MS4265130001Medicare ID - Type UnspecifiedPROVIDER #