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
Fax: (980) 269-8383
Website:
Authorized official contact:
Name: Garrison, Courtney Stevens C.PED, CFM

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659801488 NPPES
North Carolina MEDICAID 7704221

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