COLUMBIA ADULT CARE ON MAIN (NPI# 1396076857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396076857 |
| Entity Type | Organization |
| Organization Name | COLUMBIA ADULT CARE ON MAIN |
| Practice Address |
2101 Main St Ste H Columbia SC 29201-2159 |
| Mailing Address |
3127 Rosewood Dr Columbia SC 29205-3434 |
| Practice Telephone | 8032127005 |
| Practice Fax Number | 8032127005 |
| Mailing Telephone | 8032127005 |
| Mailing Fax Number | 8032127005 |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2010-01-23 |
| Authorized Official Name | MRS. TAMMY M QUARLES (DIRECTOR) |
| Authorized Official Telephone | 8032127005 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBIA ADULT CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | ADC0292 | SC | Respite Care Facility |
| Street Address |
2101 MAIN ST STE H |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793940 | Care Access Healthcare, Inc. | Respite Care | 6925 Oakland Mills Rd Ste H, Columbia, MD 21045-4714 | 2019-10-29 |
| 1356884753 | Helen Moses | Respite Care | 1470 Highway 13 S, Columbia, MS 39429-9281 | 2016-12-02 |
| 1417310863 | Compassionate Heart Personal Care & Respite Services LLC | Respite Care | 425 Old Foxworth Rd, Columbia, MS 39429-8244 | 2016-04-02 |
| 1104169648 | Demarcus Anton Rideout | Respite Care | 1119 Highway 13 S, Columbia, MS 39429-8226 | 2013-04-03 |
| 1851639686 | Robinson's Healing-hearts Assisted Living LLC | Respite Care | 7340 Parklane Rd, Suite 204-f, Columbia, SC 29223-7644 | 2013-01-29 |
| 1942503990 | Global Health Linkages Inc | Respite Care | 10810 Hickory Ridge Rd, Columbia, MD 21044-3622 | 2010-12-14 |
| 1134343627 | Humanim Inc | Respite Care | 6355 Woodside Court, Columbia, MD 21046-1071 | 2007-04-13 |
| 1285760124 | Curators of The University of Missouri | Respite Care | 2400 Bluff Creek Dr, Columbia, MO 65201-3554 | 2007-02-26 |
| 1083759203 | Curators of The University of Missouri | Respite Care | 137 Clark Hall, Columbia, MO 65211-4200 | 2007-02-21 |
| 1891853339 | Clara Leach Darden | Respite Care | 2122 Circle Dr, Columbia, TN 38401-4430 | 2006-12-05 |
| 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.