NPIMap

Organization Active NPI

Special Care Medical of SC, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ellenton, FL
National Provider Identifier
1609344647
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SPECIAL CARE MEDICAL OF SC, INC.
Practice address
2413A 10TH Street CT E
Ellenton, FL 34222-4008
Phone
(800) 326-3609
Fax
(803) 926-0161
NPI assigned
Nov 7, 2018
Organization subpart
Yes
Parent organization
SPECIAL CARE MEDICAL OF SC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Mr. Nick McLendon
Title
Director of Operation
Phone
(803) 926-0161

Specialties & licenses 1

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

Addresses

Primary practice location

2413A 10TH Street CT E
Ellenton, FL 34222-4008

Mailing address

PO Box 21564
Columbia, SC 29221-1564
Phone (803) 926-0161

Other identifiers 2

IdentifierTypeStateIssuer
DE2666MedicaidSC
DME063MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Special Care Medical of SC Inc4 organizations share this tax ID, including this one
Part of
Special Care Medical of SC Inc

Other organizations with this tax ID 3

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

Locations

5316 Lena Rd
Ste 107
Bradenton, FL 34211

2413 10th Street Ct E
#A
Ellenton, FL 34222
Phone (800) 326-3609

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1609344647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21564",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211564",
            "telephone_number": "803-926-0161",
            "fax_number": "803-926-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413A 10TH STREET CT E",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342224008",
            "telephone_number": "800-326-3609",
            "fax_number": "803-926-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE MEDICAL OF SC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL CARE MEDICAL OF SC INC",
        "enumeration_date": "2018-11-07",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "803-926-0161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2666",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME063",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.