OLD SOULS NEW SHOES LLC (NPI# 1740551043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740551043 |
| Entity Type | Organization |
| Organization Name | OLD SOULS NEW SHOES LLC |
| Practice Address |
513 Chester Ave Great Falls SC 29055-1219 |
| Practice Telephone | 7049708237 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MR. CHAD MULLINS (OWNER) |
| Authorized Official Telephone | 7049708237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
513 CHESTER AVE |
| City | GREAT FALLS |
| State | SC |
| Zip Code | 29055-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461138 | Chad N Mullins | Orthotic Fitter | 513 Chester Ave, Great Falls, SC 29055-1219 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138235 | Milrush, LLC | Durable Medical Equipment & Medical Supplies | 503 Chester Avenue, Great Falls, SC 29055 | 2007-05-29 |
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1639637358 | Alice Marie Dalena | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2019-03-12 |
| 1073962759 | Garrett Colton Kent | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2016-06-03 |
| 1639334329 | Novant Medical Group, Inc. | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2008-07-23 |
| 1598948333 | Terry Dewayne Sims | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2007-12-16 |
| 1235688425 | National Outreach and Wellness Center LLC | Counselor | 404 Chester Ave, Great Falls, SC 29055-1206 | 2016-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1487682878 | Milrush LLC | Pharmacy | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2006-06-28 |
| 1760829949 | Ann Mcelwee Mccrorey | Pharmacist | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2013-05-29 |
| Find all providers in zip 29055 | ||||
| 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 |
|---|---|---|---|---|
| 1205470861 | Discount Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1520 3rd St Nw Ste A, Great Falls, MT 59404-1957 | 2019-11-06 |
| 1487297586 | The Pink Lily | Durable Medical Equipment & Medical Supplies | 9704 Georgetown Pike, Great Falls, VA 22066-2615 | 2019-10-21 |
| 1053882993 | Independent Supply Group, LLC | Durable Medical Equipment & Medical Supplies | 1312 9th Ave S, Great Falls, MT 59405-2659 | 2018-12-17 |
| 1992291256 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1020 Seneca Road, Great Falls, VA 22066 | 2018-07-10 |
| 1952812026 | Benefis Hospitals Inc | Durable Medical Equipment & Medical Supplies | 500 15th Ave S Ste 2, Great Falls, MT 59405-4324 | 2017-10-17 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1588109797 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5320 10th Ave S, Great Falls, MT 59405-5633 | 2016-12-23 |
| 1073897468 | Big Sky Managed Care | Durable Medical Equipment & Medical Supplies | 900 13th Ave S, Great Falls, MT 59405-4426 | 2011-10-04 |
| 1053648071 | Daisy Incontinence and Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1911 22nd Ave S, Great Falls, MT 59405-6425 | 2009-11-11 |
| 1457528275 | Mountain View Access and Mobility Inc. | Durable Medical Equipment & Medical Supplies | 777 Eden Rd, Great Falls, MT 59405-8308 | 2008-05-12 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 29055 |
Please comment or provide details below to improve the information on OLD SOULS NEW SHOES LLC.
| 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.