Organization Active NPI

Carolina Mobility of Hartsville LLC

Doing business as Carolina Mobility of Hartsville

  • Durable Medical Equipment & Medical Supplies
  • Hartsville, SC
National Provider Identifier
1205044500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAROLINA MOBILITY OF HARTSVILLE LLC
Doing business as
Carolina Mobility of Hartsville
Practice address
1830 S 5TH St
Hartsville, SC 29550-5759
Phone
(843) 332-2221
Fax
(843) 669-8842
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raymond Thomy Windham
Title
Owner
Phone
(843) 665-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1830 S 5TH St
Hartsville, SC 29550-5759

Mailing address

PO Box 808
Florence, SC 29503-0808
Phone (843) 332-2221

Other names 1

  • Carolina Mobility of Hartsville Doing business as

National Provider Directory

National Provider Directory

Locations

1830 S 5th St
Hartsville, SC 29550
Phone (843) 857-3910

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205044500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295030808",
            "telephone_number": "843-332-2221",
            "fax_number": "843-669-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S 5TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505759",
            "telephone_number": "843-332-2221",
            "fax_number": "843-669-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOBILITY OF HARTSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "THOMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-665-5678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Mobility of Hartsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.