NPIMap

Organization Active NPI

Hometown Oxygen Charlotte LLC

  • Oxygen Equipment & Supplies (DME)
  • Columbia, SC
National Provider Identifier
1467960708
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
17355 Issued in SC
Legal business name
HOMETOWN OXYGEN CHARLOTTE LLC
Practice address
1700 Alta Vista Dr Ste 250
Columbia, SC 29223-4559
Phone
(803) 873-9985
Fax
(704) 793-1610
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Mr. Thomas Voorhees
Title
Ceo
Phone
(732) 692-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 17355 SC Primary

Addresses

Primary practice location

1700 Alta Vista Dr Ste 250
Columbia, SC 29223-4559

Mailing address

41 Spring St.
Suite 103
New Providence, NJ 07974
Phone (803) 873-9985

Other identifiers 1

IdentifierTypeStateIssuer
17355OtherSCSC BOARD OF PHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Hometown Oxygen Charlotte LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 Alta Vista Dr
Ste 250
Columbia, SC 29223
Phone (803) 873-9985

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1467960708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPRING ST.",
            "address_2": "SUITE 103",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "803-873-9985",
            "fax_number": "704-784-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALTA VISTA DR STE 250",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234559",
            "telephone_number": "803-873-9985",
            "fax_number": "704-793-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN OXYGEN CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "VOORHEES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-692-2747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "17355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF PHARMACY",
            "identifier": "17355",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.