Active NPI
Medical Essentials LLC
- Durable Medical Equipment & Medical Supplies
- Simpsonville, SC
National Provider Identifier
1508899964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2650 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.