<Unavail>

LBN: Good Vital Care, Llc
<Unavail> is an health care organization with primary practice located at 1243-B Ebenezer Road , Rock Hill SC 29732-4715. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Good Vital Care, Llc can be contacted via phone (803) 327-2092, or through Hyatt-Sweat, Laura J. via phone (803) 327-2092.

Contact Information

Primary practice address
1243-B Ebenezer Road Rock Hill SC 29732-4715
Phone: (803) 327-2092
Fax: (803) 327-2093
Website:
Map and Directions
Authorized official contact:
Name: Hyatt-Sweat, Laura J.
Phone: (803) 327-2092

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 11331 South Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 11331 South Carolina
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 11331 South Carolina
Suppliers / Pharmacy 333600000X 11331 South Carolina
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 11331 South Carolina

Profile Details

NPI number 1770888935
LBN Legal business name Good Vital Care, Llc
DBA Doing business as <Unavail>
Authorized official Hyatt-Sweat, Laura J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jul 28th, 2011 - about 15 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 1770888935 NPPES
South Carolina Other 711331 MEDICAID HIT
South Carolina Other DE3361 MEDICAID HIT

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