Specialty Homecare Products, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DE2719 Issued in SC

Legal business name

SPECIALTY HOMECARE PRODUCTS, LLC.

Practice address

11049 Wilson Blvd
Blythewood, SC 29016-8749

Phone

(803) 333-0063

Fax

(803) 333-0060

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Christina Delaine Moore

Title

Owner

Phone

(803) 917-1294

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245289800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11049 WILSON BLVD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168749",
            "telephone_number": "803-333-0063",
            "fax_number": "803-333-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11049 WILSON BLVD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168749",
            "telephone_number": "803-333-0063",
            "fax_number": "803-333-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOMECARE PRODUCTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-917-1294"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "DE2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Blythewood, SC
• Providers in Blythewood, 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 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.