Organization Active NPI

Abacare Home Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
National Provider Identifier
1437474251
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LIC-1-10-40943 Issued in SC
Legal business name
ABACARE HOME MEDICAL, LLC
Practice address
8410 Rivers Ave
Suite E
North Charleston, SC 29406-9271
Phone
(843) 797-5700
Fax
(843) 824-9005
NPI assigned
Apr 5, 2010
Organization subpart
Yes
Parent organization
ASSISTIVE TECHNOLOGY MEDICAL EQUIPMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Ms. Kimberly L Cuce
Title
Partner
Phone
(803) 934-9212

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LIC-1-10-40943 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X 010018802 SC
Oxygen Equipment & Supplies (DME) 332BX2000X 10793 SC

Addresses

Primary practice location

8410 Rivers Ave
Suite E
North Charleston, SC 29406-9271

Mailing address

2353 Highway 17 N
Mt Pleasant, SC 29466-6807
Phone (843) 375-2870

Other identifiers 1

IdentifierTypeStateIssuer
DE2513MedicaidSC

National Provider Directory

National Provider Directory

Locations

2353 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 375-2870

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1437474251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 HIGHWAY 17 N",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666807",
            "telephone_number": "843-375-2870",
            "fax_number": "843-388-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 RIVERS AVE",
            "address_2": "SUITE E",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069271",
            "telephone_number": "843-797-5700",
            "fax_number": "843-824-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACARE HOME MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSISTIVE TECHNOLOGY MEDICAL EQUIPMENT SERVICES, LLC",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "CUCE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-934-9212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "LIC-1-10-40943",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "010018802",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "10793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2513",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.