Boutique On Main
LBN: Superior Home Medical, Inc
Boutique On Main is an health care organization with primary practice located at 201 N Main St Ste 110 , Monroe NC 28112-4753. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as the primary health care specialty.
Superior Home Medical, Inc can be contacted via phone (980) 269-8382, or through Garrison, Courtney Stevens via phone (704) 225-0285.
Contact Information
Primary practice address
201 N Main St Ste 110
Monroe NC 28112-4753
Phone: (980) 269-8382
Fax: (980) 269-8383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | CFM02947 | North Carolina |
Profile Details
NPI number | 1659801488 |
---|---|
LBN Legal business name | Superior Home Medical, Inc |
DBA Doing business as | Boutique On Main |
Authorized official | Garrison, Courtney Stevens C.PED, CFM |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 14th, 2017 |
Last updated | Jun 28th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659801488 | NPPES |
North Carolina | MEDICAID | 7704221 |
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