PROVIDENCE HOSPITAL NORTHEAST TRANSITIONAL CARE UNIT (NPI# 1215932405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215932405 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOSPITAL NORTHEAST TRANSITIONAL CARE UNIT |
| Other Organization Name | PROVIDENCE NORTHEAST TCU |
| Practice Address |
120 Gateway Corporate Blvd Columbia SC 29203-9802 |
| Mailing Address |
2435 Forest Dr Columbia SC 29204-2026 |
| Practice Telephone | 8038654500 |
| Practice Fax Number | 8038654515 |
| Mailing Telephone | 8032565300 |
| Mailing Fax Number | 8032565935 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUDITH ANN KARAM (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8032565313 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 593N98 | SC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Northeast TCU | Doing Business As Name - Organization |
| Street Address |
120 GATEWAY CORPORATE BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-9802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659103 | Broad River Physicians Group, LLC | Emergency Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2017-06-22 |
| 1366819138 | Ashley Templeton | Physical Therapist | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2015-08-27 |
| 1942614607 | Megan Wilderotter Ackerson | Physician Assistant | 120 Gateway Corporate Blvd, Emergency Department, Columbia, SC 29203-9611 | 2014-06-19 |
| 1811310576 | Providence Orthopedic Group, LLC | Orthopaedic Surgery | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2014-01-30 |
| 1588086672 | Charles Driggers | Physician Assistant | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2014-01-09 |
| 1972860344 | Jamie Edens Gilligan | Registered Nurse | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2012-04-23 |
| 1639443948 | Jamie Lea Disharoon | Nurse Anesthetist, Certified Registered | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2012-03-05 |
| 1740484658 | Augustine Health Group, LLC | Internal Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 | 2007-06-13 |
| 1255497202 | Michael T Hayes | Emergency Medicine | 120 Gateway Corporate Blvd, Columbia, SC 29203-9802 | 2006-12-27 |
| 1912097056 | Roy Hampton Smith | Nurse Practitioner | 120 Gateway Corporate Blvd, Emergency Department, Columbia, SC 29203-9611 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578088183 | Columbia Post Acute, LLC | Skilled Nursing Facility | 3535 Berrywood Dr, Columbia, MO 65201-6584 | 2017-08-04 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1427436328 | Susquehanna Operator, LLC | Skilled Nursing Facility | 745 Old Chiques Hill Rd, Columbia, PA 17512-8401 | 2015-05-12 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1013231794 | The Oaks of Blythewood, Inc. | Skilled Nursing Facility | 1075 Heather Green Drive, Columbia, SC 29229-0000 | 2010-03-24 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1487836656 | Columbia Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1506 N Main St, Columbia, MS 39429-2070 | 2007-11-29 |
| 1457483398 | Dorn Veterans Hospital | Skilled Nursing Facility | 3509 Lake Ave Apt 2132, Columbia, SC 29206-5111 | 2007-03-09 |
| 1659406668 | White Oak Manor Inc | Skilled Nursing Facility | 3001 Beechaven Rd, Columbia, SC 29204-2701 | 2007-02-22 |
| 1205961810 | Dynamic Columbia Operating Company LLC | Skilled Nursing Facility | 1506 North Main Street, Columbia, MS 39429-2070 | 2007-02-22 |
| 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.