Active NPI
Home Care Medical AIDS Inc of Ninety Six
- Oxygen Equipment & Supplies (DME)
- Ninety Six, SC
National Provider Identifier
1689941676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 1045
- Legal business name
- HOME CARE MEDICAL AIDS INC OF NINETY SIX
- Practice address
- 105 Little MTN Rd
Ninety Six, SC 29666 - Phone
- (864) 543-3300
- Fax
- (864) 543-3301
- NPI assigned
- Nov 19, 2011
- Last updated
- Nov 19, 2011
- 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
- Mrs. Kellee Smith Jones
- Title
- Certified Respiratory Therapist
- Phone
- (864) 543-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1045 | SC | Primary |
Addresses
Primary practice location
105 Little MTN Rd
Ninety Six, SC 29666
Mailing address
105 Little Mountain Road
Ninety Six, SC 29666
Phone (864) 543-3300
National Provider Directory
National Provider DirectoryLocations
105 Little Mountain Rd
Ninety Six, SC 29666
Phone (864) 543-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321660800000",
"number": "1689941676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LITTLE MOUNTAIN ROAD",
"city": "NINETY SIX",
"state": "SC",
"postal_code": "29666",
"telephone_number": "864-543-3300",
"fax_number": "864-543-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 LITTLE MTN RD",
"city": "NINETY SIX",
"state": "SC",
"postal_code": "29666",
"telephone_number": "864-543-3300",
"fax_number": "864-543-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE MEDICAL AIDS INC OF NINETY SIX",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-19",
"last_updated": "2011-11-19",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KELLEE",
"authorized_official_middle_name": "SMITH",
"authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPIST",
"authorized_official_telephone_number": "864-543-3300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": "1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ninety Six, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.