MEDICARE: CAROLINAS HOMETOWN RESPIRATORY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1568935401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINAS HOMETOWN RESPIRATORY LLC

Provider Business Mailing Address
First Line	:	371 CONCORD PKWY N
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-6734
Country	:	US
Telephone Number	:	704-770-5248
Fax Number	:	704-793-1610

Provider Business Practice Location Address
First Line	:	9526 BIRKDALE CROSSING DR STE 14
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8449
Country	:	US
Telephone Number	:	888-877-0202
Fax Number	:	866-487-0202

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DAVID SCOTT DINNING
Credential	:
Telephone Number	:	704-770-5248

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	03/18/2026

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