Low Country Home Oxygen & Medical Equipment, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

65007165 Issued in SC

Legal business name

LOW COUNTRY HOME OXYGEN & MEDICAL EQUIPMENT, LLC

Practice address

23 Main St
Suite 202
Hilton Head Island, SC 29926-6606

Phone

(843) 706-3424

Fax

(843) 706-9475

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Glenn Ferguson Schrader

Title

President

Phone

(843) 706-3424

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1376695809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 RED CEDAR ST",
            "address_2": "SUITE 1",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108943",
            "telephone_number": "843-706-3424",
            "fax_number": "843-706-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266606",
            "telephone_number": "843-706-3424",
            "fax_number": "843-706-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY HOME OXYGEN & MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "FERGUSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-706-3424"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "65007165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.