Provider Demographics
NPI:1033976519
Name:CAROLINAS HOMETOWN RESPIRATORY LLC
Entity Type:Organization
Organization Name:CAROLINAS HOMETOWN RESPIRATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DINNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-770-5248
Mailing Address - Street 1:371 CONCORD PKWY N
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6734
Mailing Address - Country:US
Mailing Address - Phone:888-877-0202
Mailing Address - Fax:866-487-0202
Practice Address - Street 1:813 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3307
Practice Address - Country:US
Practice Address - Phone:888-877-0202
Practice Address - Fax:866-487-0202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAROLINAS HOMETOWN RESPIRATORY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies