Provider Demographics
NPI:1831167725
Name:CAROLINA HOME MEDICAL, INC.
Entity type:Organization
Organization Name:CAROLINA HOME MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-636-1711
Mailing Address - Street 1:2117 S GLENBURNIE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2239
Mailing Address - Country:US
Mailing Address - Phone:252-636-1711
Mailing Address - Fax:252-514-6719
Practice Address - Street 1:304 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4932
Practice Address - Country:US
Practice Address - Phone:252-526-5090
Practice Address - Fax:252-559-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06166332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC045W4OtherBCBS PROVIDER NUMBER
NC7701890Medicaid
NC7701890Medicaid