Prestigious Duramed and Incontinence Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRESTIGIOUS DURAMED AND INCONTINENCE SUPPLIES, LLC

Practice address

1306 W Poinsett St
Greer, SC 29650-1250

Phone

(864) 373-8953

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By 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

Dinasti Nazaiyh JonesNPI 1831815539

Title

Owner

Phone

(864) 479-0020

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dinasti Nazaiyh Jones

  • Home Health Aide
  • Greer, SC
  • NPI 1831815539
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1386321362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501250",
            "telephone_number": "864-373-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501250",
            "telephone_number": "864-373-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGIOUS DURAMED AND INCONTINENCE SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DINASTI",
        "authorized_official_middle_name": "NAZAIYH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-479-0020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Greer, SC
• Providers in Greer, 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 Jun 30, 2023; 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.