Active NPI
Kci USA, Inc.
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1124015086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KCI USA, INC.
- Practice address
- 6132 Brookshire Blvd.
Suite H
Charlotte, NC 28216 - Phone
- (704) 391-3087
- NPI assigned
- Oct 5, 2005
- Organization subpart
- Yes
- Parent organization
- KCI USA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa Gomez
- Title
- VP, Medicare Enrollment
- Phone
- (830) 292-1612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6132 Brookshire Blvd.
Suite H
Charlotte, NC 28216
Mailing address
6103 Farinon Dr
Attn HCC
San Antonio, TX 78249-3442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705391 | Medicaid | NC | |
| DM1083 | Medicaid | SC |
Other names 1
- Solventum Advanced Wound Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039002 | NC | DME Supplier - Medical Supply Company | 8224156518 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Kci USA Inc
- Part of
- Kci USA Inc
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Durable Medical Equipment & Medical Supplies
- Morrisville, NC
- NPI 1033106216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1124015086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 FARINON DR",
"address_2": "ATTN HCC",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6132 BROOKSHIRE BLVD.",
"address_2": "SUITE H",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28216",
"telephone_number": "704-391-3087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KCI USA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KCI USA, INC.",
"enumeration_date": "2005-10-05",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "VP, MEDICARE ENROLLMENT",
"authorized_official_telephone_number": "830-292-1612"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705391",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM1083",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Solventum Advanced Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.