MEDICARE: HOMECARE DME

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417392861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE DME

Provider Business Mailing Address
First Line	:	PO BOX 1987
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29465-1987
Country	:	US
Telephone Number	:	843-817-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2353 HIGHWAY 17 BYP N
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-6807
Country	:	US
Telephone Number	:	843-817-1930
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEC ROCHFORD
Credential	:
Telephone Number	:	843-817-1930

Provider Enumeration Date	:	04/29/2013
Last Update Date	:	12/19/2014

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Directions to “HOMECARE DME ” Practice Location

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