Organization Active NPI

Dominion Health Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1760627319
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 11, 2008

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.