Provider Demographics
NPI:1568935401
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:S
Authorized Official - Last Name:DINNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-770-5248
Mailing Address - Street 1:371 CONCORD PARKWAY NORTH
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027
Mailing Address - Country:US
Mailing Address - Phone:704-770-5248
Mailing Address - Fax:704-793-1610
Practice Address - Street 1:9526 BIRKDALE CROSSING DR STE 14
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8449
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:2019-01-03
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies