MEDICARE: CAROLINA HOME MEDICAL, 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	333300000X	Emergency Response System Companies	01235	NC
2	332BX2000X	Oxygen Equipment & Supplies (DME)	07030	NC

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
2	045W4	OTHER	NC	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1962479550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA HOME MEDICAL, INC.

Provider Business Mailing Address
First Line	:	1301 COMMERCE DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-2239
Country	:	US
Telephone Number	:	252-636-1711
Fax Number	:	252-514-6719

Provider Business Practice Location Address
First Line	:	1301 COMMERCE DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-2239
Country	:	US
Telephone Number	:	252-636-1711
Fax Number	:	252-514-6719

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT JOSEPH MCLAUGHLIN JR.
Credential	:
Telephone Number	:	252-636-1711

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	12/17/2015

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Directions to “CAROLINA HOME MEDICAL, INC. ” Practice Location

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