Active NPI
Home Medical Supplies & Equipment, Inc.
- Oxygen Equipment & Supplies (DME)
- Moncks Corner, SC
National Provider Identifier
1083680938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 008147819S
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1415 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016194 | SC | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 7618098245 | Practice locations: Moncks Corner, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Home Medical Supplies & Equipment | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.