Organization Active NPI

Home Medical Supplies & Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Moncks Corner, SC
National Provider Identifier
1083680938
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
008147819S Issued in SC
Legal business name
HOME MEDICAL SUPPLIES & EQUIPMENT, INC.
Practice address
415 Altman St
Moncks Corner, SC 29461-3656
Phone
(843) 761-3248
Fax
(843) 761-3237
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Lisa B Young
Title
Ceo
Phone
(843) 729-5851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 008147819S SC Primary

Addresses

Primary practice location

415 Altman St
Moncks Corner, SC 29461-3656

Mailing address

415 Altman St
Moncks Corner, SC 29461-3656
Phone (843) 761-3248

Other identifiers 1

IdentifierTypeStateIssuer
DE1415MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016194 SC DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7618098245 Practice locations: Moncks Corner, SC

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
Home Medical Supplies & Equipment415 Altman St, Moncks Corner, SC 29461-3656(843) 761-3248 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pumps and/or Supplies|Implanted Infusion Pumps … Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

415 Altman St
Moncks Corner, SC 29461
Phone (843) 761-3248

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1083680938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ALTMAN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613656",
            "telephone_number": "843-761-3248",
            "fax_number": "843-761-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ALTMAN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613656",
            "telephone_number": "843-761-3248",
            "fax_number": "843-761-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLIES & EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-729-5851"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "008147819S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1415",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.