Healthcare Provider Details

I. General information

NPI: 1912924648
Provider Name (Legal Business Name): DANNY COX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 S MAIN ST HOMECARE MEDICAL PRODUCTS
FAIRMONT NC
28340
US

IV. Provider business mailing address

PO BOX 9 234 S MAIN ST
FAIRMONT NC
28340
US

V. Phone/Fax

Practice location:
  • Phone: 910-628-0119
  • Fax: 910-628-0116
Mailing address:
  • Phone: 910-628-0119
  • Fax: 910-628-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number01093
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. DANNY R COX
Title or Position: OWNER
Credential:
Phone: 910-628-0119