1356618581 NPI number — SAFE AT HOME MEDICAL EQUIP & SUPPLY

Table of content: MRS. ANA GABRIELA SCHMUDE MA (NPI 1063178556)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356618581 NPI number — SAFE AT HOME MEDICAL EQUIP & SUPPLY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAFE AT HOME MEDICAL EQUIP & SUPPLY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356618581
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
232 WEST CAROLINA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTSVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-917-0230
Provider Business Mailing Address Fax Number:
843-917-0231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
232 W CAROLINA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARTSVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-917-0230
Provider Business Practice Location Address Fax Number:
843-917-0231
Provider Enumeration Date:
11/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ARMSTRONG
Authorized Official First Name:
TINA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
843-917-0230

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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