# HOMETOWN OXYGEN CHARLOTTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619909496
- **Authorized official:** MR. PAUL JARDINA (CEO)
- **Authorized official phone:** (866) 776-6782

## Contact information

- **Practice address:** 2205 MERCANTILE DR NE, SUITE 2, LELAND, NC 28451
- **Practice address phone:** (888) 902-3502
- **Mailing address:** 41 SPRING ST., SUITE 103, NEW PROVIDENCE, NJ 07974
- **Mailing address phone:** (704) 347-2233
- **Mailing address fax:** (704) 331-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 01117 | NC | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/01/2024