HOMETOWN OXYGEN CHARLOTTE LLC (NPI# 1467960708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467960708 |
| Entity Type | Organization |
| Organization Name | HOMETOWN OXYGEN CHARLOTTE LLC |
| Practice Address |
1700 Alta Vista Dr Ste 250 Columbia SC 29223-4559 |
| Mailing Address |
41 Spring St. Suite 103 New Providence NJ 07974 |
| Practice Telephone | 8038739985 |
| Practice Fax Number | 7047931610 |
| Mailing Telephone | 8038739985 |
| Mailing Fax Number | 7047840055 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | MR. THOMAS VOORHEES (CEO) |
| Authorized Official Telephone | 7326922747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
17355 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC BOARD OF PHARMACY | 17355 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844457 | Hometown Oxygen Charlotte LLC | Durable Medical Equipment & Medical Supplies | 2154 N Center St Ste 306c, North Charleston, SC 29406-4082 | 2020-06-02 |
| 1871738153 | Hometown Oxygen Charlotte LLC | Durable Medical Equipment & Medical Supplies | 369 Concord Pkwy N, Concord, NC 28027-6734 | 2008-12-15 |
| Street Address |
1700 ALTA VISTA DR STE 250 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418775 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 610 Columbiana Dr Ste 200, Columbia, SC 29212-0728 | 2019-07-07 |
| 1992226765 | Aerocare Home Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5900 N Tower Dr Ste F, Columbia, MO 65202-9437 | 2017-07-03 |
| 1861772212 | Fresh Aire Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 6030 Saint Andrews Rd, Suite K, Columbia, SC 29212-3164 | 2011-08-17 |
| 1952549958 | Carefirst Medical | Durable Medical Equipment & Medical Supplies | 8616 Rockcress Ct, Columbia, MD 21045-2880 | 2009-01-28 |
| 1720271695 | Tlc Medical Oxygen & Hospital Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Cayer Lane, Suite F, Columbia, TN 38401 | 2007-08-23 |
| 1083735740 | Home Care Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1118 Wilkes Blvd, Columbia, MO 65201-4772 | 2007-04-02 |
| 1538208731 | Medicor Healthcare Inc | Durable Medical Equipment & Medical Supplies | 3037 Mcnaughton Dr Ste A, Columbia, SC 29223-1851 | 2007-02-05 |
| 1144325515 | Heartland Pulmonary Rehab & Oxygen Services LLC | Durable Medical Equipment & Medical Supplies | 300 Portland St, Columbia, MO 65201-6569 | 2006-09-13 |
| 1730298969 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 3510a Bush River Rd, Columbia, SC 29210-4806 | 2006-08-30 |
| 1922023738 | Palmetto Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 1445 Shop Rd Ste A, Columbia, SC 29201-4817 | 2006-07-13 |
| Find all providers in COLUMBIA | ||||
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| 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.