Organization Active NPI

Greenwood Home Respiratory Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Greenwood, SC
National Provider Identifier
1245280429
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
65004505 Issued in SC
Legal business name
GREENWOOD HOME RESPIRATORY CARE, INC.
Practice address
204 Birchtree Dr
Greenwood, SC 29649-1502
Phone
(864) 223-3800
Fax
(864) 223-8329
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mr. James B. Garner Jr., CRT/RCP
Title
President
Phone
(864) 993-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 65004505 SC Primary

Addresses

Primary practice location

204 Birchtree Dr
Greenwood, SC 29649-1502

Mailing address

204 Birchtree Dr
PO Box 56
Greenwood, SC 29649-1502
Phone (864) 223-3800

Other identifiers 1

IdentifierTypeStateIssuer
DME844MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058256 SC DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5496875965 Practice locations: Greenwood, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Greenwood Home Resp Care, Inc.204 Birchtree Dr, Greenwood, SC 29649-1502(864) 223-3800 Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devices Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

204 Birchtree Dr
Greenwood, SC 29649
Phone (864) 223-3800

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1245280429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BIRCHTREE DR",
            "address_2": "PO BOX 56",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491502",
            "telephone_number": "864-223-3800",
            "fax_number": "864-223-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BIRCHTREE DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491502",
            "telephone_number": "864-223-3800",
            "fax_number": "864-223-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD HOME RESPIRATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-993-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRT/RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "65004505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.