MINK TOTAL LLC (NPI# 1063925469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063925469 |
| Entity Type | Organization |
| Organization Name | MINK TOTAL LLC |
| Practice Address |
3015 Scuba Dr Charleston SC 29414-5696 |
| Practice Telephone | 8439010824 |
| Mailing Telephone | 8439010824 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | STACY PHILLIPS (FULL LACE WIGS &FRONTAL SPECIALIST) |
| Authorized Official Telephone | 8439010824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5889 | SC | Suppliers |
| Street Address |
3015 SCUBA DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1669021770 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Folly Rd, Charleston, SC 29412-9562 | 2019-09-11 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
| 1891299681 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 418 Virginia St W, Charleston, WV 25302-2008 | 2018-03-19 |
| 1821513235 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1812 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4868 | 2017-08-07 |
| 1841721537 | Tac Med | Durable Medical Equipment & Medical Supplies | 1473 Ashley Garden Blvd, Charleston, SC 29414-9126 | 2017-03-23 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on MINK TOTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.