MEDICARE: ESTEEMCARE INC

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)

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	:	1679527212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTEEMCARE INC

Provider Business Mailing Address
First Line	:	3223 SUNSET BLVD
Second Line	:	SUITE 104
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169
Country	:	US
Telephone Number	:	803-936-9376
Fax Number	:	803-936-9872

Provider Business Practice Location Address
First Line	:	3223 SUNSET BLVD
Second Line	:	SUITE 104
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169
Country	:	US
Telephone Number	:	803-936-9376
Fax Number	:	803-936-9872

Authorized Official
Title or Position	:	CEO
Name	:	MR. MADHU M MATHEW
Credential	:
Telephone Number	:	803-936-9376

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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Directions to “ESTEEMCARE INC ” Practice Location

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