JC & SHANNON HEALTHCARE (NPI# 1134349723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134349723 |
| Entity Type | Organization |
| Organization Name | JC & SHANNON HEALTHCARE |
| Practice Address |
2247 Mott Ave N Charleston SC 29405-5917 |
| Practice Telephone | 8435543806 |
| Practice Fax Number | 8435543802 |
| Mailing Telephone | 8435543806 |
| Mailing Fax Number | 8435543802 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | ANITA F MAZYCK (CO-OWNER) |
| Authorized Official Telephone | 8435543806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2007-01034NC | SC | Suppliers |
| Street Address |
2247 MOTT AVE |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841645280 | 101 Mobility | Durable Medical Equipment & Medical Supplies | 3369 Ashley Phosphate Rd Ste D, N Charleston, SC 29418-8463 | 2016-05-03 |
| 1952533515 | The Balance Mobility & Dizziness Center | Durable Medical Equipment & Medical Supplies | 9241 University Blvd Ste B1, N Charleston, SC 29406-9349 | 2009-08-17 |
| 1851533897 | Shybria Alexis Watkins | Durable Medical Equipment & Medical Supplies | 5409 Red Fork Ln, N Charleston, SC 29420-6874 | 2009-04-06 |
| 1629584545 | Charleston Hand Therapy Center | Durable Medical Equipment & Medical Supplies | 8950 University Blvd, Suite 200 Room 217, N Charleston, SC 29406 | 2017-12-15 |
| 1740412303 | Sports Plus | Durable Medical Equipment & Medical Supplies | 5401 Netherby Rd Ste 300, N Charleston, SC 29420-7363 | 2009-08-17 |
| 1205062619 | Clemson Sports Medicine and Rehabilitation, Inc. | Durable Medical Equipment & Medical Supplies | 2881 Tricom St, Suite B, N Charleston, SC 29406-9823 | 2009-06-01 |
| 1376720151 | Orthopaedic Specialists of Charleston | Durable Medical Equipment & Medical Supplies | 2891 Tricom St Ste A, N Charleston, SC 29406-7110 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1437769494 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Georgia Rd, Simpsonville, SC 29680-6305 | 2020-08-05 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.