Organization Active NPI

Prosthetic Care, Inc

  • Prosthetic/Orthotic Supplier
  • Greenville, SC
National Provider Identifier
1104018126
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE3340MedicaidSC

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.