Active NPI
Selectcare Inc.
- Durable Medical Equipment & Medical Supplies
- Fort Mill, SC
National Provider Identifier
1053619064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0436383
- Legal business name
- SELECTCARE INC.
- Practice address
- 3650 Centre Cir
Unit H
Fort Mill, SC 29715-8777 - Phone
- (888) 902-9898
- NPI assigned
- Mar 1, 2011
- Last updated
- Nov 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy R Leif, RN, BSN
- Title
- President
- Phone
- (704) 400-5460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0436383 | NC | Primary |
Addresses
Primary practice location
3650 Centre Cir
Unit H
Fort Mill, SC 29715-8777
Mailing address
3650 Centre Cir
Unit H
Fort Mill, SC 29715-8777
Phone (888) 902-9898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3395 | Medicaid | SC | |
| 7703041 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
4750 Commons Dr
Denver, NC 28037
Phone (888) 902-9898
3650 Centre Cir
Ste H
Fort Mill, SC 29715
Phone (803) 548-1446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447632000000",
"number": "1053619064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 CENTRE CIR",
"address_2": "UNIT H",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158777",
"telephone_number": "888-902-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 CENTRE CIR",
"address_2": "UNIT H",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158777",
"telephone_number": "888-902-9898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECTCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-01",
"last_updated": "2015-11-16",
"status": "A",
"authorized_official_last_name": "LEIF",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-400-5460",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "0436383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE3395",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703041",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.