Organization Active NPI

Winyah Home Medical, Inc

  • Oxygen Equipment & Supplies (DME)
  • Georgetown, SC
National Provider Identifier
1366444374
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
022150084 Issued in SC
Legal business name
WINYAH HOME MEDICAL, INC
Practice address
1101 Church St
Georgetown, SC 29440-3201
Phone
(843) 520-0300
Fax
(843) 520-0301
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Mrs. Dana L Whitlock
Title
Director
Phone
(843) 520-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 022150084 SC Primary

Addresses

Primary practice location

1101 Church St
Georgetown, SC 29440-3201

Mailing address

1101 Church St
Georgetown, SC 29440-3201
Phone (843) 520-0300

Other identifiers 1

IdentifierTypeStateIssuer
DE2368MedicaidSC

National Provider Directory

National Provider Directory

Locations

1101 Church St
Georgetown, SC 29440
Phone (843) 520-0300

4661 Socastee Blvd
Myrtle Beach, SC 29588
Phone (843) 294-4444

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1366444374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CHURCH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403201",
            "telephone_number": "843-520-0300",
            "fax_number": "843-520-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CHURCH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403201",
            "telephone_number": "843-520-0300",
            "fax_number": "843-520-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINYAH HOME MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-520-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "022150084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2368",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.