Abacare Home Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

010730667 Issued in SC

Legal business name

ABACARE HOME MEDICAL INC

Practice address

2353 Hwy 17 North
Mount Pleasant, SC 29466-6807

Phone

(843) 375-2870

Fax

(843) 388-2550

NPI assigned

Aug 31, 2006

Last updated

Nov 15, 2007By 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. Phillip Declemente

Title

Chief Operating Officer

Phone

(843) 375-2870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1184735706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 HWY 17 NORTH",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666807",
            "telephone_number": "843-375-2870",
            "fax_number": "843-388-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 HWY 17 NORTH",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666807",
            "telephone_number": "843-375-2870",
            "fax_number": "843-388-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACARE HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "DECLEMENTE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "843-375-2870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "010730667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME2513",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Nov 15, 2007; 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.