Provider Demographics
NPI:1649442211
Name:ACHIEVE DME, INC.
Entity type:Organization
Organization Name:ACHIEVE DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ALFRED
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:803-714-1977
Mailing Address - Street 1:121 CENTRUM DR STE 5
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-8346
Mailing Address - Country:US
Mailing Address - Phone:803-714-1977
Mailing Address - Fax:803-714-9773
Practice Address - Street 1:121 CENTRUM DR STE 5
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-8346
Practice Address - Country:US
Practice Address - Phone:803-714-1977
Practice Address - Fax:803-714-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65009885332B00000X
SC453998332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC65009885OtherMEDICAL GASES/LEGEND DEVI
SC65009885OtherMEDICAL GASES/LEGEND DEVI