Organization Active NPI

Free Spirit Mobility and Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Greer, SC
National Provider Identifier
1659384246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREE SPIRIT MOBILITY AND HOME MEDICAL
Practice address
107A W Wade Hampton Blvd
Greer, SC 29650-1651
Phone
(864) 877-8566
Fax
(864) 877-8807
NPI assigned
Aug 14, 2006
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
Maria A Wardrup
Title
Billing Specialist, Cma, Cmom
Phone
(864) 877-8566

Specialties & licenses 1

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

Addresses

Primary practice location

107A W Wade Hampton Blvd
Greer, SC 29650-1651

Mailing address

107 A West Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-8566

Other identifiers 1

IdentifierTypeStateIssuer
DE2415MedicaidSC

National Provider Directory

National Provider Directory

Locations

107A W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-8566

107 W Wade Hampton Blvd
#A
Greer, SC 29650

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659384246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 A WEST WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-877-8566",
            "fax_number": "864-877-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107A W WADE HAMPTON BLVD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501651",
            "telephone_number": "864-877-8566",
            "fax_number": "864-877-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE SPIRIT MOBILITY AND HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDRUP",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST, CMA, CMOM",
        "authorized_official_telephone_number": "864-877-8566"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2415",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, 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.