Silva Enterprises LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

032352588 Issued in SC

Legal business name

SILVA ENTERPRISES LLC

Doing business as

Medisource Home Medical

Practice address

110 Main St
Leesville, SC 29070-8016

Phone

(803) 532-2644

Fax

(803) 532-2644

NPI assigned

Jul 18, 2006

Last updated

Apr 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sergio Silva

Title

Owner

Phone

(803) 532-2644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDISOURCE HOME MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1144248113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708016",
            "telephone_number": "803-532-2644",
            "fax_number": "803-532-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708016",
            "telephone_number": "803-532-2644",
            "fax_number": "803-532-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-532-2644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "032352588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1997",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDISOURCE HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Leesville, SC
• Providers in Leesville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.