FC MIDLANDS KATHWOOD, LLC (NPI# 1053787663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053787663 |
| Entity Type | Organization |
| Organization Name | FC MIDLANDS KATHWOOD, LLC |
| Other Organization Name | CAROLINA GARDENS AT KATHWOOD |
| Practice Address |
4520 Trenholm Rd Columbia SC 29206-4425 |
| Mailing Address |
3500 Lenox Road Suite 510 Atlanta GA 30326 |
| Practice Telephone | 8037871234 |
| Practice Fax Number | 8037871285 |
| Mailing Telephone | 7707549660 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | SCOTT BROWN (PRESIDENT) |
| Authorized Official Telephone | 7707549660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carolina Gardens at Kathwood | Doing Business As Name - Organization |
| Street Address |
4520 TRENHOLM RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326509480 | Caroline Victoria Gallin | Occupational Therapist | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2019-03-29 |
| 1679001440 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1114533049 | Ahc Sterling House of Harbison, LLC | Assisted Living Facility | 51 Woodcross Dr, Columbia, SC 29212-2350 | 2020-09-16 |
| 1922614866 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 251 Springtree Dr, Columbia, SC 29223-7989 | 2020-09-16 |
| 1356983027 | Bella Vista Continued Care Home | Assisted Living Facility | 1435 Bella Vista Dr, Columbia, SC 29223-7201 | 2019-10-14 |
| 1326695321 | Snh Md Tenant LLC | Assisted Living Facility | 8220 Snowden River Pkwy, Columbia, MD 21045-1942 | 2019-08-23 |
| 1770056392 | Assured Care Group | Assisted Living Facility | 10227 Wincopin Cir Unit 1206, Columbia, MD 21044-6517 | 2019-01-07 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1700235819 | East Coast Al Holdings, LLC | Assisted Living Facility | 950 Hwy 64 East, Columbia, NC 27925 | 2016-06-09 |
| 1740664598 | Rouse Community Care Home | Assisted Living Facility | 8809 Wilson Blvd, Columbia, SC 29203-1817 | 2015-07-10 |
| 1043699846 | Americare At Mill Creek Village Assisted Living LLC | Assisted Living Facility | 1990 South Hampton Drive, Columbia, MO 65203 | 2015-05-26 |
| Find all providers in COLUMBIA | ||||
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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.