Provider Demographics
NPI:1902958465
Name:ACCESS HOME MEDICAL LLC
Entity Type:Organization
Organization Name:ACCESS HOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MANNING
Authorized Official - Last Name:LEE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:803-418-5441
Mailing Address - Street 1:3041D MCNAUGHTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-1809
Mailing Address - Country:US
Mailing Address - Phone:803-699-8011
Mailing Address - Fax:803-699-8013
Practice Address - Street 1:3041D MCNAUGHTON DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1809
Practice Address - Country:US
Practice Address - Phone:803-699-8011
Practice Address - Fax:803-699-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5849780002Medicare NSC