Carolina Vital Care, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Swansboro, NC
NPI 1790788057 · NPPES record last updated Oct 9, 2009
Key facts
- NPI
- 1790788057
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- HC1403 (NC)
- Legal business name
- CAROLINA VITAL CARE, INC.
- Practice address
- 706 W Corbett Ave
Suite B
Swansboro, NC 28584-8452 - Phone
- (910) 326-7948
- Fax
- (910) 326-5480
- NPI assigned
- May 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry A. Stanley IV
- Title
- Chief Operating Officer
- Phone
- (252) 726-3556
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Carolina Vital Care Inc
Locations
706 W Corbett Ave
Ste B
Swansboro, NC 28584
Phone (910) 326-7948
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | HC1403 | NC | Yes |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | HC1403 | NC |
Addresses
Primary practice location
706 W Corbett Ave
Suite B
Swansboro, NC 28584-8452
Mailing address
PO Box 961
Swansboro, NC 28584-0961
Phone (910) 326-7948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3413488 | Other | NABP | |
| 0675512 | Medicaid | NC |
Other names
- CVC Home Medical, Inc.
Other providers in Swansboro, NC
- Kurt Brendstrup
- Craig Brown
- Jennifer Eliska Butler
- Kaylan Carlton
- Carolina Residential Services, Inc
- Carteret Surgical Associates P.a.
- Clarity Counseling Collective PC
- Teresa Gail Conley
- Savannah Corey
- Craig R Brown, DMD, PA
All providers in Swansboro, 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 Oct 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.