WILLIAMS COMMUNITY CARE HOME (NPI# 1548868417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548868417 |
| Entity Type | Organization |
| Organization Name | WILLIAMS COMMUNITY CARE HOME |
| Practice Address |
7705 Richard St Columbia SC 29209-3733 |
| Mailing Address |
8435 Monticello Rd Columbia SC 29203-9473 |
| Practice Telephone | 8037831223 |
| Practice Fax Number | 8037833044 |
| Mailing Telephone | 8037304764 |
| Mailing Fax Number | 8037833044 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | CHARLES WILLIAMS (ADMINISTRATOR /OWNER) |
| Authorized Official Telephone | 8037304764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
7705 RICHARD ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033658653 | Adult Day Health, Inc. | Custodial Care Facility | 9135 Guilford Rd Ste 100, Columbia, MD 21046-2579 | 2017-02-15 |
| 1801241971 | Palmetto Senior Care Shandon | Custodial Care Facility | 1100 Shirley St Ste 1, Columbia, SC 29205-1370 | 2016-04-26 |
| 1508257080 | Complete Home Care Services of Tennessee | Custodial Care Facility | 2504 Cayer Ln Ste D, Columbia, TN 38401-7384 | 2015-02-05 |
| 1427480193 | Step By Step To Nursing | Custodial Care Facility | 237 Chartwell Rd, Columbia, SC 29210-5834 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314256 | The Barr Transition Place, LLC | Custodial Care Facility | 2422 Martin Luther King Jr Hwy, Kingstree, SC 29556-6945 | 2019-06-06 |
| 1265953590 | Club Horizons of Charleston, LLC | Custodial Care Facility | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2017-06-27 |
| 1720534985 | Caring Hearts Companions, LLC | Custodial Care Facility | 1185 Blanton Rd, Sharon, SC 29742-8752 | 2016-08-28 |
| 1295188001 | Professional Cleaning & Care Services LLC | Custodial Care Facility | 620 16th Ave S, Unit 89, Surfside Beach, SC 29575-3069 | 2016-07-16 |
| 1346634904 | Cheryl Renee Gibson-dalton | Custodial Care Facility | 1231 Eutaw St, Orangeburg, SC 29115-3529 | 2015-03-22 |
| 1447648001 | Carriage House Senior Living of Hartsville | Custodial Care Facility | 1131 E Home Ave, Hartsville, SC 29550-3411 | 2015-01-06 |
| 1881012177 | Joshua's Foundation Inc. | Custodial Care Facility | 388 Elbow Circle, Ridgeway, SC 29130-0035 | 2014-04-03 |
| 1013263433 | Hannah Residential Manor, Inc. | Custodial Care Facility | 3750 Sheminally Rd, Pamplico, SC 29583-5700 | 2012-08-03 |
| 1669776134 | New Generations Adult Day Center of Florence Inc | Custodial Care Facility | 2111 W. Jody Road, Florence, SC 29501 | 2010-12-27 |
| 1891941217 | Aaa Care, LLC | Custodial Care Facility | 6135 White Horse Rd Unit 143, Greenville, SC 29611-3832 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
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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.