Carolina Healthcare Products, Inc

Key facts

NPI: 1750337044
Entity type: Organization (NPI type 2)
Primary specialty: Durable Medical Equipment & Medical Supplies 332B00000X
License: 01087 (NC)
Legal business name: CAROLINA HEALTHCARE PRODUCTS, INC
Practice address: 20 Medical Campus Dr
Suite 102
Supply, NC 28462-4094
Phone: (910) 755-6767
Fax: (910) 755-6769
NPI assigned: May 26, 2006
Organization subpart: No

Authorized official

Name: Mr. Ron J De Santo, C.PED.
Title: President
Phone: (910) 454-4545

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Carolina Healthcare Products, Inc Durable Medical Equipment & Medical Supplies · Southport, NC · NPI 1629025283

Same PAC ID 6103031646

Corporate family (same tax ID) 1

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

Carolina Healthcare Products, Inc Durable Medical Equipment & Medical Supplies · Southport, NC · NPI 1629025283

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ronald J De Santo, CPED Specialist · Southport, NC · NPI 1336330703

NPD (past)

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Carolina Healthcare Products, Inc 20 Medical Campus Dr NW, Supply, NC 28462-4094 · (910) 755-6767	Commodes, Urinals, Bedpans\|Continuous Passive Motion (CPM) Devices\|Contracture Treatment Devices: Dynamic Splint\|Blood Glucose Monitors/Supplies (Non-Mail Order)\|Blood Glucose Monitors/Supplies (Mail Order)\|Heat & Cold Applications\|Neuromuscular Elect Stimulators (NMES)/Supplies\|Osteogenesis Stimul…	Does not accept assignment Participating since Jan 27, 2003

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100930017523	NC	DME Supplier - Medical Supply Company With Orthotic Personnel DME Supplier - Pedorthic Personnel	6103031646	Practice locations: Supply, NC

National Provider Directory

Tax ID family: Carolina Healthcare Products Inc (2 organizations share this tax ID)

Locations

20 Medical Campus Dr NW
Ste 102
Supply, NC 28462
Phone (910) 755-6767

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	01087	NC	Yes

Addresses

Primary practice location

20 Medical Campus Dr
Suite 102
Supply, NC 28462-4094

Mailing address

20 Medical Campus Dr
Suite 102
Supply, NC 28462-4094
Phone (910) 755-6767

Other identifiers

Identifier	Type	State	Issuer
7704305	Medicaid	NC
DE2637	Medicaid	SC

Other providers in Supply, NC

All providers in Supply, NC · Durable Medical Equipment & Medical Supplies in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.