Organization Active NPI

Tri-City Diabetic Homecare Services LLC

  • Nursing Facility Supplies (DME)
  • Charleston, SC
National Provider Identifier
1972796670
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
TRI-CITY DIABETIC HOMECARE SERVICES LLC
Practice address
2178A Savannah Hwy
Suite G
Charleston, SC 29414-5345
Phone
(843) 266-0027
Fax
(843) 266-0030
NPI assigned
Aug 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Ronald Bradshaw
Title
Owner
Phone
(843) 266-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

2178A Savannah Hwy
Suite G
Charleston, SC 29414-5345

Mailing address

2178A Savannah Hwy
Charleston, SC 29414-5345
Phone (843) 266-0027

National Provider Directory

National Provider Directory

Locations

2178A Savannah Hwy
Charleston, SC 29414

2178A Savannah Hwy
Ste G
Charleston, SC 29414
Phone (843) 266-0027

NPI Registry JSON

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1972796670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178A SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145345",
            "telephone_number": "843-266-0027",
            "fax_number": "843-266-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178A SAVANNAH HWY",
            "address_2": "SUITE G",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145345",
            "telephone_number": "843-266-0027",
            "fax_number": "843-266-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY DIABETIC HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-266-0027"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.