# ELDERCARE MEDICAL SUPPLIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elderly BaBy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629430889
- **Authorized official:** MR. DERRICK CARTER (PRESIDENT)
- **Authorized official phone:** (281) 224-6245

## Contact information

- **Practice address:** 531 PROMENADE BLVD, KATY, TX 77450-2441
- **Practice address phone:** (281) 224-6245
- **Practice address fax:** (281) 769-9800
- **Mailing address:** 1450 W GRAND PKWY S, SUITE 408, KATY, TX 77494-8204
- **Mailing address phone:** (281) 224-6245
- **Mailing address fax:** (281) 769-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016