Seaside Mobility and Health Care

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

69659 Issued in SC

Legal business name

SEASIDE MOBILITY AND HEALTH CARE

Practice address

695 Highway 17
Little River, SC 29566-9203

Phone

(843) 280-8907

Fax

(843) 280-9437

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By 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. James Ronald Sanders

Title

Owner

Phone

(843) 280-8907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376603266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 HIGHWAY 17",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669203",
            "telephone_number": "843-280-8907",
            "fax_number": "843-280-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HIGHWAY 17",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669203",
            "telephone_number": "843-280-8907",
            "fax_number": "843-280-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE MOBILITY AND HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-280-8907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "69659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Little River, SC
• Providers in Little River, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• 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.

Verify at the official NPI Registry.