Organization Active NPI

Carolina Resources

Doing business as Learning Resources

  • Customized Equipment (DME)
  • Newberry, SC
National Provider Identifier
1275615205
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CAROLINA RESOURCES
Doing business as
Learning Resources
Practice address
1345 Wilson Rd
Newberry, SC 29108-3061
Phone
(803) 276-3200
Fax
(803) 276-3220
NPI assigned
Oct 19, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Clarence Melvin Ellison
Title
Owner
Phone
(803) 276-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1345 Wilson Rd
Newberry, SC 29108-3061

Mailing address

PO Box 609
Newberry, SC 29108-0609
Phone (803) 276-3200

Other identifiers 1

IdentifierTypeStateIssuer
DME988MedicaidSC

Other names 1

  • Learning Resources Doing business as

National Provider Directory

National Provider Directory

Locations

1345 Wilson Rd
Newberry, SC 29108
Phone (803) 276-3200

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1275615205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291080609",
            "telephone_number": "803-276-3200",
            "fax_number": "803-276-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WILSON RD",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083061",
            "telephone_number": "803-276-3200",
            "fax_number": "803-276-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-276-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME988",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Learning Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.