Provider Demographics
NPI:1124011226
Name:AFTERCARE HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:AFTERCARE HOME MEDICAL EQUIPMENT INC
Other - Org Name:AFTERCARE MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-635-7729
Mailing Address - Street 1:316 S CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-1404
Mailing Address - Country:US
Mailing Address - Phone:803-635-7729
Mailing Address - Fax:803-635-7400
Practice Address - Street 1:316 S CONGRESS ST
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-1404
Practice Address - Country:US
Practice Address - Phone:803-635-7729
Practice Address - Fax:803-635-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65006623332BX2000X
SC500097703336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDME270Medicaid
SCDME270Medicaid