Provider Demographics
NPI:1912924648
Name:DANNY COX
Entity Type:Organization
Organization Name:DANNY COX
Other - Org Name:HOMECARE MEDICAL PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:R
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-628-0119
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:234 S MAIN ST
Mailing Address - City:FAIRMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28340
Mailing Address - Country:US
Mailing Address - Phone:910-628-0119
Mailing Address - Fax:910-628-0116
Practice Address - Street 1:234 S MAIN ST
Practice Address - Street 2:HOMECARE MEDICAL PRODUCTS
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340
Practice Address - Country:US
Practice Address - Phone:910-628-0119
Practice Address - Fax:910-628-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225000000X
NC01093332BX2000X
NC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesGroup - Multi-Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795287Medicaid
SCDE2722Medicaid
NC7704418Medicaid
NC7704418Medicaid