Active NPI
Dominion Health Care LLC
- Durable Medical Equipment & Medical Supplies
- Florence, SC
National Provider Identifier
1760627319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DOMINION HEALTH CARE LLC
- Practice address
- 510 Hickory Grove Cir
Florence, SC 29501-0810 - Phone
- (843) 413-0182
- Fax
- (843) 413-0186
- NPI assigned
- Dec 11, 2008
- 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
- Mr. Bobby James Hendley
- Title
- Adminstrator
- Phone
- (843) 413-0182
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Department of Veterans Affairs (VA) Pharmacy | 332100000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | SC | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | SC | ||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | SC | ||
| Nursing Facility Supplies (DME) | 332BN1400X | SC | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | SC |
Addresses
Primary practice location
510 Hickory Grove Cir
Florence, SC 29501-0810
Mailing address
510 Hickory Grove Cir
Florence, SC 29501-0810
Phone (843) 413-0182
National Provider Directory
National Provider Directory- Tax ID family
- Dominion Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Florence, SC
- NPI 1144366766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228953600000",
"number": "1760627319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HICKORY GROVE CIR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010810",
"telephone_number": "843-413-0182",
"fax_number": "843-413-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HICKORY GROVE CIR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010810",
"telephone_number": "843-413-0182",
"fax_number": "843-413-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A",
"authorized_official_last_name": "HENDLEY",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "843-413-0182",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332100000X",
"taxonomy_group": "",
"desc": "Department of Veterans Affairs (VA) Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.