Active NPI
Healthy Living Systems, Inc.
- Durable Medical Equipment & Medical Supplies
- Lancaster, SC
National Provider Identifier
1356495618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEALTHY LIVING SYSTEMS, INC.
- Practice address
- 2076 Mount Laurel Rd
Lancaster, SC 29720-7600 - Phone
- (803) 286-6410
- Fax
- (803) 286-6411
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carolyn T Petroski
- Title
- Owner, President
- Phone
- (803) 286-6410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | SC | Primary |
Addresses
Primary practice location
2076 Mount Laurel Rd
Lancaster, SC 29720-7600
Mailing address
2076 Mount Laurel Rd
Lancaster, SC 29720-7600
Phone (803) 286-6410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2432 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356495618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2076 MOUNT LAUREL RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297207600",
"telephone_number": "803-286-6410",
"fax_number": "803-286-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 MOUNT LAUREL RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297207600",
"telephone_number": "803-286-6410",
"fax_number": "803-286-6411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETROSKI",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "803-286-6410",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE2432",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- 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.