Organization Active NPI

Health Care Medical Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Spartanburg, SC
National Provider Identifier
1568584746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
HEALTH CARE MEDICAL INC
Practice address
216 E Henry St
Spartanburg, SC 29306-3248
Phone
(864) 582-8983
Fax
(864) 208-1136
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myria Polydorou, CPA
Title
Bookeeper
Phone
(864) 582-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

216 E Henry St
Spartanburg, SC 29306-3248

Mailing address

PO Box 5419
Spartanburg, SC 29304-5419
Phone (864) 582-8983

Other identifiers 1

IdentifierTypeStateIssuer
DM0090MedicaidSC

National Provider Directory

National Provider Directory

Locations

216 E Henry St
Spartanburg, SC 29306
Phone (864) 582-8983

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568584746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5419",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045419",
            "telephone_number": "864-582-8983",
            "fax_number": "864-208-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E HENRY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063248",
            "telephone_number": "864-582-8983",
            "fax_number": "864-208-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLYDOROU",
        "authorized_official_first_name": "MYRIA",
        "authorized_official_title_or_position": "BOOKEEPER",
        "authorized_official_telephone_number": "864-582-8983",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0090",
            "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 Aug 22, 2020; 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.