Organization Active NPI

Carolina'S Home Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Matthews, NC
National Provider Identifier
1912995473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00866 Issued in NC
Legal business name
CAROLINA'S HOME MEDICAL EQUIPMENT, INC.
Practice address
901-K Sam Newell Rd.
Matthews, NC 28105
Phone
(704) 846-7503
Fax
(704) 846-7911
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank H. Trammell
Title
Owner/President
Phone
(704) 846-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00866 NC Primary

Addresses

Primary practice location

901-K Sam Newell Rd.
Matthews, NC 28105

Mailing address

901 Sam Newell Rd
Matthews, NC 28105-9400
Phone (704) 846-7503

Other identifiers 1

IdentifierTypeStateIssuer
7703902MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930079316 NC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 6204043714 Practice locations: Matthews, NC

National Provider Directory

National Provider Directory

Locations

901 Sam Newell Rd
Ste K
Matthews, NC 28105
Phone (704) 846-7503

901 Sam Newell Rd
Matthews, NC 28105

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912995473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAM NEWELL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059400",
            "telephone_number": "704-846-7503",
            "fax_number": "704-846-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901-K SAM NEWELL RD.",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-846-7503",
            "fax_number": "704-846-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA'S HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-846-7503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703902",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.