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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224900000X | Mastectomy Fitter | CFM02947 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7704221 | 05 |
Other Name | Type Code |
---|---|
Boutique On Main | Doing Business As Name - Organization |
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 |
Street Address |
201 N MAIN ST STE 110 |
City | MONROE |
State | NC |
Zip Code | 28112-4753 |
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 |
Find all providers in zip 28112 |
Taxonomy Code | 224900000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Mastectomy Fitter |
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. |
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 |
Find all providers with the same taxonomy |
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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.