Special Care Medical of SC, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

65004336 Issued in SC

Legal business name

SPECIAL CARE MEDICAL OF SC, INC.

Practice address

3465 Leaphart Rd
West Columbia, SC 29169-3029

Phone

(803) 926-0161

Fax

(803) 926-0345

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Walter David McLendon

Title

Ceo

Phone

(803) 926-0161

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Special Care Medical of SC 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.

• Special Care Medical of SC Inc

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
  • NPI 1689828717
  NPD tax ID
• Special Care Medical of SC Inc

  • Oxygen Equipment & Supplies (DME)
  • West Palm Beach, FL
  • NPI 1912247842
  NPD tax ID
• Special Care Medical of SC, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ellenton, FL
  • NPI 1609344647
  NPD tax ID

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1962497891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21564",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211564",
            "telephone_number": "803-926-0161",
            "fax_number": "803-926-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693029",
            "telephone_number": "803-926-0161",
            "fax_number": "803-926-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE MEDICAL OF SC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-926-0161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "65004336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME063",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF TN",
            "identifier": "1323023",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON PROVIDER #",
            "identifier": "165226",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOODS NPN",
            "identifier": "82597",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.