NPIMap

Organization Active NPI

Carolina Vital Care, Inc.

Doing business as CVC Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Swansboro, NC
National Provider Identifier
1790788057
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HC1403 Issued in NC
Legal business name
CAROLINA VITAL CARE, INC.
Doing business as
CVC Home Medical, 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
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mr. Jerry A. Stanley IV
Title
Chief Operating Officer
Phone
(252) 726-3556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HC1403 NC Primary
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 names 1

  • CVC Home Medical, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Vital Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

706 W Corbett Ave
Ste B
Swansboro, NC 28584
Phone (910) 326-7948

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1790788057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285840961",
            "telephone_number": "910-326-7948",
            "fax_number": "910-326-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W CORBETT AVE",
            "address_2": "SUITE B",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848452",
            "telephone_number": "910-326-7948",
            "fax_number": "910-326-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VITAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "252-726-3556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "HC1403",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "HC1403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVC Home Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.