SUPERIOR HOME MEDICAL, INC


Address: 201 N Main St Ste 110, Monroe, NC 28112-4753
Phone: 9802698382

SUPERIOR HOME MEDICAL, INC (NPI# 1659801488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659801488
Entity Type Organization
Organization Name SUPERIOR HOME MEDICAL, INC
Other Organization Name BOUTIQUE ON MAIN
Practice Address 201 N Main St Ste 110
Monroe
NC 28112-4753
Mailing Address 108 S Main St
Monroe
NC 28112-5541
Practice Telephone 9802698382
Practice Fax Number 9802698383
Mailing Telephone 7042250285
Mailing Fax Number 7042250287
Enumeration Date 2017-06-14
Last Update Date 2017-06-28
Authorized Official Name MRS. COURTNEY STEVENS GARRISON (PRESIDENT)
Authorized Official Telephone 7042250285
Authorized Official Credential C.PED, CFM
Is Organization Subpart Y
Parent Organization Name SUPERIOR HOME MEDICAL, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224900000X Mastectomy Fitter CFM02947 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7704221 05

Other Provider/Organization Names

Other Name Type Code
Boutique On Main Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437217288 Superior Home Medical, Inc Durable Medical Equipment & Medical Supplies 1900 -a W Roosevelt Blvd, Monroe, NC 28110-3762 2006-12-05

Office Location

Street Address 201 N MAIN ST STE 110
City MONROE
State NC
Zip Code 28112-4753

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000620 Paladina Health, LLC Family Medicine Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 2019-02-22
1073078408 Sharelle Monique Hatley Social Worker 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 2019-02-11
1740762509 Fox Counseling and Consulting, Pllc Social Worker 311 W Jefferson Street, Monroe, NC 28112 2018-08-29
1760976062 Kinena J Dent-smith Community/Behavioral Health 207 Raymond St, Monroe, NC 28112 2018-06-20
1093225468 Healthstat Onsite Clinic Parkdale Plant 21 Preventive Medicine 5005 Waxhaw Highway 75, Monroe, NC 28112 2017-10-11
1871026567 H.o.p.e. Advancement, Inc. Counselor 349 Venus Street, Monroe, NC 28112 2017-04-10
1508304650 Monroe Dental Clinic General Partnership Dentist 102 E Windsor Street, Monroe, NC 28112 2017-02-09
1073062865 Garahetta Robin Sell Massage Therapist 600 West End Drive, Monroe, NC 28112 2016-09-22
1700280765 Katherine Hartness Massage Therapist 205 N. Hayne St., Monroe, NC 28112 2014-10-20
1346655586 Gaurav Chand Internal Medicine 1663 Campus Park Dr., Suite D, Monroe, NC 28112 2014-06-26
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Taxonomy Information

Taxonomy Code 224900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Mastectomy Fitter

Taxonomy Definition

An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355036 Tonyan Wilson Hunter Mastectomy Fitter 125 E Council St, Salisbury, NC 28144-5019 2020-10-30
1043784762 Kathleen Wylie Mastectomy Fitter 4252 Arendell St Ste C, Morehead City, NC 28557-0015 2019-01-15
1609375310 Teresa Medford Mastectomy Fitter 583 Asheville Hwy Ste 3, Sylva, NC 28779-5114 2018-02-08
1245615160 Tiffani Ross Mastectomy Fitter 17436 Midnight Express Way, Cornelius, NC 28031-8180 2015-07-21
1558707661 Kimberly Anne Twine Mastectomy Fitter 113 Baxter Ln Ste 8, Moyock, NC 27958-8792 2013-05-15
1811505068 Tracy Lee Neily Mastectomy Fitter 3400 Executive Dr, Raleigh, NC 27609-7476 2020-07-14
1841827995 Brittany Taylor White Mastectomy Fitter 106 Medical Dr, Elizabeth City, NC 27909-3361 2020-03-26
1518514041 Cathy M Cliff Mastectomy Fitter 702 Jefferson St, Whiteville, NC 28472-3706 2019-08-20
1134689326 Destiny S Davis Mastectomy Fitter 405 W 15th St, Washington, NC 27889-3524 2019-03-22
1104383751 Hope Taylor-miller Mastectomy Fitter 1636 Tate Blvd Se, Hickory, NC 28602-4244 2019-03-01
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Competitor

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City MONROE
Zip Code 28112

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Dataset Information

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.

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