Active NPI
Prosthetic Care, Inc
- Prosthetic/Orthotic Supplier
- Greenville, SC
National Provider Identifier
1104018126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- PROSTHETIC CARE, INC
- Practice address
- 11 Brendan Way
Suite 150
Greenville, SC 29615-3586 - Phone
- (864) 234-9095
- Fax
- (864) 234-9092
- NPI assigned
- Aug 14, 2007
- Organization subpart
- Yes
- Parent organization
- HANGER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheryl Price
- Title
- Director of Reimbursement
- Phone
- (503) 493-8288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
11 Brendan Way
Suite 150
Greenville, SC 29615-3586
Mailing address
1009 Grove Rd
Suite B1
Greenville, SC 29605-4600
Phone (864) 370-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3340 | Medicaid | SC |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Seneca, SC
- NPI 1821291840
Member Of
-
dba OrPro Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Springfield, OH
- NPI 1245279637
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351036800000",
"number": "1104018126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 GROVE RD",
"address_2": "SUITE B1",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054600",
"telephone_number": "864-370-2010",
"fax_number": "864-370-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BRENDAN WAY",
"address_2": "SUITE 150",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153586",
"telephone_number": "864-234-9095",
"fax_number": "864-234-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHETIC CARE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANGER, INC.",
"enumeration_date": "2007-08-14",
"last_updated": "2012-10-24",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "503-493-8288"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE3340",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.