Organization Active NPI

Medical Essentials LLC

  • Durable Medical Equipment & Medical Supplies
  • Simpsonville, SC
National Provider Identifier
1508899964
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL ESSENTIALS LLC
Practice address
304 South Main Street
Simpsonville, SC 29681-2606
Phone
(864) 757-1467
Fax
(864) 757-1469
NPI assigned
Jul 9, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mary C. Welbaum, CFO,C.PED.
Title
Owner/President
Phone
(864) 234-1438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

304 South Main Street
Simpsonville, SC 29681-2606

Mailing address

215 Pelham Rd Ste B211
Greenville, SC 29615-2548
Phone (864) 234-1438

Other identifiers 1

IdentifierTypeStateIssuer
DE2650MedicaidSC

National Provider Directory

National Provider Directory

Locations

215 Pelham Rd
Ste B211
Greenville, SC 29615

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1508899964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PELHAM RD STE B211",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152548",
            "telephone_number": "864-234-1438",
            "fax_number": "864-234-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SOUTH MAIN STREET",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812606",
            "telephone_number": "864-757-1467",
            "fax_number": "864-757-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WELBAUM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "864-234-1438",
        "authorized_official_credential": "CFO,C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2650",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.