Healthcare Provider Details

I. General information

NPI: 1962479550
Provider Name (Legal Business Name): CAROLINA HOME MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 COMMERCE DR
NEW BERN NC
28562-2239
US

IV. Provider business mailing address

1301 COMMERCE DR
NEW BERN NC
28562-2239
US

V. Phone/Fax

Practice location:
  • Phone: 252-636-1711
  • Fax: 252-514-6719
Mailing address:
  • Phone: 252-636-1711
  • Fax: 252-514-6719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number07030
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number01235
License Number StateNC

VIII. Authorized Official

Name: MR. ROBERT JOSEPH MCLAUGHLIN JR.
Title or Position: PRESIDENT
Credential:
Phone: 252-636-1711