NPIMap

Organization Active NPI

Good Vital Care, LLC

Doing business as Good Vital Care

  • Durable Medical Equipment & Medical Supplies
  • Rock Hill, SC
National Provider Identifier
1770888935
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
11331 Issued in SC
Legal business name
GOOD VITAL CARE, LLC
Doing business as
Good Vital Care
Practice address
1243-B Ebenezer Road
Rock Hill, SC 29732-4715
Phone
(803) 327-2092
Fax
(803) 327-2093
NPI assigned
Jan 20, 2011
Last updated
Jul 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD PHARMACY OF ROCK HILL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura J. Hyatt-Sweat
Title
Pharmacists
Phone
(803) 327-2092

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 11331 SC
Durable Medical Equipment & Medical Supplies 332B00000X 11331 SC Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 11331 SC
Pharmacy 333600000X 11331 SC
Home Infusion Therapy Pharmacy 3336H0001X 11331 SC

Addresses

Primary practice location

1243-B Ebenezer Road
Rock Hill, SC 29732-4715

Mailing address

1243-B Ebenezer Road
Rock Hill, SC 29732-4715
Phone (803) 327-2092

Other identifiers 2

IdentifierTypeStateIssuer
711331OtherSCMEDICAID HIT
DE3361OtherSCMEDICAID DME

Other names 1

  • Good Vital Care Doing business as

National Provider Directory

National Provider Directory
Part of
Good Pharmacy Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1243 Ebenezer Rd
#B
Rock Hill, SC 29732

1243B Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2092

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1770888935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243-B EBENEZER ROAD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324715",
            "telephone_number": "803-327-2092",
            "fax_number": "803-327-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243-B EBENEZER ROAD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324715",
            "telephone_number": "803-327-2092",
            "fax_number": "803-327-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VITAL CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD PHARMACY OF ROCK HILL, INC",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "HYATT-SWEAT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHARMACISTS",
        "authorized_official_telephone_number": "803-327-2092"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "SC",
            "license": "11331",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "11331",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": "11331",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "11331",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "SC",
            "license": "11331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HIT",
            "identifier": "711331",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "DE3361",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.