Organization Active NPI

Selectcare Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Mill, SC
National Provider Identifier
1053619064
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0436383 Issued in NC
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE3395MedicaidSC
7703041MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.