Magnolia Medical Equipment and Supplies LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MAGNOLIA MEDICAL EQUIPMENT AND SUPPLIES LLC

Practice address

1003 Highway 301 N Ste B
Dillon, SC 29536-2452

Phone

(843) 642-3645

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Mr. John Bass

Title

Owner

Phone

(843) 642-3645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1629896873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HIGHWAY 301 N STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362452",
            "telephone_number": "843-642-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HIGHWAY 301 N STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362452",
            "telephone_number": "843-642-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL EQUIPMENT AND SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-642-3645",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• David Anthony Locklear II
• Kelsey Burk Loeliger, MD, PHD
• Love 4 You Home Health Service LLC
• Jason Briscoe Lowry Jr., RPH
• Shirley Chappell Mace, MEA CCC SLP
• Magnolia Network, LLC
• Making a Difference Home Care Services LLC
• Latorya Fredericka Manning, LMT
• Christopher Kevin Markferding, FNP
• Beverly Tanya Mason, MSW

• Oxygen Equipment & Supplies (DME) in Dillon, SC
• Providers in Dillon, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.