Carolina Vital Care, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HC1690 Issued in NC

Legal business name

CAROLINA VITAL CARE, INC

Doing business as

CVC Home Medical, Inc

Practice address

3302 Bridges St Ste C
Morehead City, NC 28557-3366

Phone

(252) 726-3556

Fax

(252) 726-3556

NPI assigned

May 31, 2005

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry A. Stanley

Title

Corporate Manager

Phone

(252) 726-3556

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CVC Home Medical, Inc Doing business as

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1306849609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570684",
            "telephone_number": "252-726-3556",
            "fax_number": "252-726-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 BRIDGES ST STE C",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573366",
            "telephone_number": "252-726-3556",
            "fax_number": "252-726-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VITAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "252-726-3556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "HC1690",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "HC1690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702798",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3413488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVC Home Medical, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Choice LLC
• Carolina East Counseling PLLC
• Carolina Home Medical, Inc.
• Carolina Orthopedic and Sports Medicine Inc
• Carolina Pain Center, P.C
• Carolina Vital Home Care, Inc. (CVC Home Medical, Inc.)
• Carolinaeast Physicians
• Carolinaeast Physicians
• Carolinaeast Physicians
• Carolinaeast Physicians

• Durable Medical Equipment & Medical Supplies in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.