Organization Active NPI

CVC Home Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Wilmington, NC
National Provider Identifier
1184627812
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
694 Issued in NC
Legal business name
CVC HOME MEDICAL, INC.
Practice address
8114 Market St
Ste 100
Wilmington, NC 28411-9386
Phone
(910) 686-3599
Fax
(910) 686-3499
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mr. Garland Washington Sewell Jr., RPH
Title
President
Phone
(910) 326-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 694 NC Primary

Addresses

Primary practice location

8114 Market St
Ste 100
Wilmington, NC 28411-9386

Mailing address

PO Box 10731
Wilmington, NC 28404-0731
Phone (910) 686-3599

Other identifiers 1

IdentifierTypeStateIssuer
7703707MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1184627812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10731",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040731",
            "telephone_number": "910-686-3599",
            "fax_number": "910-686-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 MARKET ST",
            "address_2": "STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119386",
            "telephone_number": "910-686-3599",
            "fax_number": "910-686-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVC HOME MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_middle_name": "WASHINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-326-3349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703707",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.