Organization Active NPI

SC House Calls Inc

  • Oxygen Equipment & Supplies (DME)
  • Columbia, SC
National Provider Identifier
1073201711
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SC HOUSE CALLS INC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Miller Staub
Title
Ceo
Phone
(803) 730-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (803) 730-8910

Other names 1

  • Agape Senior Primary Care Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241224000018 SC DME Supplier - Medical Supply Company 6800994807 Practice locations: Columbia, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SC House Calls Inc111 Doctor Cir, Columbia, SC 29203-6502(800) 491-0909 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patien… Accepts assignmentParticipating since Feb 8, 2006

National Provider Directory

National Provider Directory

Locations

2370 Williston Rd
Aiken, SC 29803
Phone (803) 652-3652

9 Sunset Blvd
Beaufort, SC 29907
Phone (843) 310-4359

113 Ellison St
Bennettsville, SC 29512

304 E Market St
Bennettsville, SC 29512
Phone (843) 479-3837

2661 FRST Dr
Columbia, SC 29204

107 Etling Ave
Goose Creek, SC 29445
Phone (843) 863-0209

2008 Pelham Rd
Greenville, SC 29615

1408 Parkway
Greenwood, SC 29646
Phone (864) 223-2281

315 S Midway Hwy
Johnsonville, SC 29555

260 Watson Heritage Rd
Loris, SC 29569
Phone (843) 716-4673

9 Winchester Ct
Mauldin, SC 29662

4600 Oleander Dr
Ste 2
Myrtle Beach, SC 29577
Phone (843) 448-2228

4600 Oleander Dr
Ste C
Myrtle Beach, SC 29577
Phone (843) 448-2228

601 65th Ave N
Myrtle Beach, SC 29572

2659 Elms Plantation Blvd
North Charleston, SC 29406

808 Carolina Ave
Sumter, SC 29150

107 Cornwell St
Union, SC 29379
Phone (864) 427-4275

Practitioners & affiliated clinicians

Practitioners 655

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1073201711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "803-730-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC HOUSE CALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "STAUB",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-730-8910"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Senior Primary Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.