Organization Active NPI

Quality Home Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Spartanburg, SC
National Provider Identifier
1437493574
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
042543382 Issued in SC
Legal business name
QUALITY HOME MEDICAL INC
Practice address
362 N Pine St
Spartanburg, SC 29302
Phone
(864) 599-9945
Fax
(864) 599-7713
NPI assigned
Nov 15, 2012
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Charles Fuller
Title
Vice President of Operations
Phone
(864) 599-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 042543382 SC Primary

Addresses

Primary practice location

362 N Pine St
Spartanburg, SC 29302

Mailing address

130 Rogers Commerce Blvd
Boiling Springs, SC 29316-6144
Phone (864) 599-9945

Other identifiers 2

IdentifierTypeStateIssuer
DE1135MedicaidSC
1178540004OtherSCMEDICARE PTAN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

247 Oak Street Ext
Ste 111
Forest City, NC 28043
Phone (828) 286-9931

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1437493574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROGERS COMMERCE BLVD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166144",
            "telephone_number": "864-599-9945",
            "fax_number": "864-599-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 N PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29302",
            "telephone_number": "864-599-9945",
            "fax_number": "864-599-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "864-599-9945"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "042543382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1135",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1178540004",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.