Organization Active NPI

Comfort Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1114283413
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMFORT MEDICAL SUPPLY LLC
Practice address
20 Grand Ave Ste D
Greenville, SC 29607-2161
Phone
(877) 204-3733
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RMH MEDICAL GROUP HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Craig A Daley
Title
President & Ceo
Phone
(386) 673-6902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

20 Grand Ave Ste D
Greenville, SC 29607-2161

Mailing address

615 S Yonge St
Ormond Beach, FL 32174-7541
Phone (386) 673-6902

National Provider Directory

National Provider Directory
Tax ID family
Comfort Medical Supply LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Grand Ave
Ste D
Greenville, SC 29607
Phone (877) 204-3733

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1114283413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747541",
            "telephone_number": "386-673-6902",
            "fax_number": "386-673-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAND AVE STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072161",
            "telephone_number": "877-204-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RMH MEDICAL GROUP HOLDINGS INC",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "386-673-6902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 11, 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.