NPIMap

Organization Active NPI

Hometown Oxygen Charlotte LLC

Doing business as Hometown Oxygen Concord

  • Oxygen Equipment & Supplies (DME)
  • Concord, NC
National Provider Identifier
1871738153
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
01452 Issued in NC
Legal business name
HOMETOWN OXYGEN CHARLOTTE LLC
Doing business as
Hometown Oxygen Concord
Practice address
369 Concord Pkwy N
Concord, NC 28027-6734
Phone
(704) 782-0222
Fax
(704) 784-0055
NPI assigned
Dec 15, 2008
Last updated
Aug 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMETOWN OXYGEN CHARLOTTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Authorized official

Name
Stephen A Lariviere
Title
Chief Compliance Officer
Phone
(866) 776-6782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 01452 NC Primary

Addresses

Primary practice location

369 Concord Pkwy N
Concord, NC 28027-6734

Mailing address

41 Spring St.
Suite 103
New Providence, NJ 07974
Phone (704) 782-0222

Other names 2

  • Hometown Oxygen Concord Doing business as
  • PromptCare Companies, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930070021 NC DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0446452411 Practice locations: Concord, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hometown Oxygen369 Concord Pkwy N, Concord, NC 28027-6734(704) 782-0202 Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Voice Prosthetics|Enteral Nutrients|Enteral Equipment and/or Supplies|Continuous Positive Airway Pressure (CPAP) Devices|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflatio… Does not accept assignmentParticipating since Feb 1, 2006

National Provider Directory

National Provider Directory
Tax ID family
Hometown Oxygen Charlotte LLC7 organizations share this tax ID, including this one
Part of
Hometown Oxygen Charlotte LLC

Other organizations with this tax ID 6

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

Member of 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1871738153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPRING ST.",
            "address_2": "SUITE 103",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "07974",
            "telephone_number": "704-782-0222",
            "fax_number": "704-784-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CONCORD PKWY N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276734",
            "telephone_number": "704-782-0222",
            "fax_number": "704-784-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN OXYGEN CHARLOTTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMETOWN OXYGEN CHARLOTTE LLC",
        "enumeration_date": "2008-12-15",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "LARIVIERE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-776-6782"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "01452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Oxygen Concord",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PromptCare Companies, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.