Healthcare Provider Details

I. General information

NPI: 1124011226
Provider Name (Legal Business Name): AFTERCARE HOME MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 S CONGRESS ST
WINNSBORO SC
29180-1404
US

IV. Provider business mailing address

316 S CONGRESS ST
WINNSBORO SC
29180-1404
US

V. Phone/Fax

Practice location:
  • Phone: 803-635-7729
  • Fax: 803-635-7400
Mailing address:
  • Phone: 803-635-7729
  • Fax: 803-635-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number50009770
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number65006623
License Number StateSC

VIII. Authorized Official

Name: JAMES A CASEY
Title or Position: PRESIDENT
Credential:
Phone: 803-635-7729