Provider Demographics
NPI:1205829397
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:MR
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 1:510 RUTLEDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-4312
Mailing Address - Country:US
Mailing Address - Phone:803-425-7352
Mailing Address - Fax:803-713-1414
Practice Address - Street 1:510 RUTLEDGE ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-4312
Practice Address - Country:US
Practice Address - Phone:803-425-7352
Practice Address - Fax:803-713-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65008382332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2126Medicaid
SC1302770003Medicare NSC