NPIMap

Organization Active NPI

Affordable Medical Home Supplies

  • Durable Medical Equipment & Medical Supplies
  • Fountain Inn, SC
National Provider Identifier
1275734857
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AFFORDABLE MEDICAL HOME SUPPLIES
Practice address
420 Raspberry LN
Fountain Inn, SC 29644-3512
Phone
(864) 408-9179
Fax
(866) 285-4874
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
James Richard
Title
Owner
Phone
(864) 408-9179

Specialties & licenses 1

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

Addresses

Primary practice location

420 Raspberry LN
Fountain Inn, SC 29644-3512

Mailing address

PO Box 196
Fountain Inn, SC 29644-0196
Phone (864) 408-9179

National Provider Directory

National Provider Directory
Tax ID family
Affordable Medical Home Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1275734857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296440196",
            "telephone_number": "864-408-9179",
            "fax_number": "866-285-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 RASPBERRY LN",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296443512",
            "telephone_number": "864-408-9179",
            "fax_number": "866-285-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MEDICAL HOME SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-408-9179"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.