FORMA MEDICAL SOLUTIONS LLC (NPI# 1578032405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578032405 |
| Entity Type | Organization |
| Organization Name | FORMA MEDICAL SOLUTIONS LLC |
| Practice Address |
107 Orange St Apt 202 Darlington SC 29532-3107 |
| Practice Telephone | 8435363375 |
| Practice Fax Number | 8439689047 |
| Mailing Telephone | 8435363375 |
| Mailing Fax Number | 8439689047 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | DAVID IRWIN MORRISEY (CEO) |
| Authorized Official Telephone | 8435363375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225697477 | Forma Medical Solutions LLC | Clinic/Center | 107 Orange St Apt 202, Darlington, SC 29532-3107 | 2019-06-11 |
| 1942779640 | Forma Medical Solutions LLC | Emergency Response System Companies | 107 Orange St Apt 202, Darlington, SC 29532-3107 | 2018-11-26 |
| Street Address |
107 ORANGE ST APT 202 |
| City | DARLINGTON |
| State | SC |
| Zip Code | 29532-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225697477 | Forma Medical Solutions LLC | Clinic/Center | 107 Orange St Apt 202, Darlington, SC 29532-3107 | 2019-06-11 |
| 1942779640 | Forma Medical Solutions LLC | Emergency Response System Companies | 107 Orange St Apt 202, Darlington, SC 29532-3107 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164877189 | Wal-mart Stores East, Lp | Technician/Technologist | 251 Andover Place, Darlington, SC 29532 | 2016-04-27 |
| 1508299900 | Pastoral Compassionate Care | Home Health | 912 Pearl St., Darlington, SC 29532 | 2013-08-21 |
| 1891045225 | Stacey Dionne Willoughby | Pharmacist | 102 Express Lane, Darlington, SC 29532 | 2012-09-13 |
| 1174854558 | James D Mcinnis | Family Medicine | 201 Cashua Street, Darlington, SC 29532 | 2010-01-25 |
| 1790966836 | Dawson and Dawson Family Dentistry | Dentist | 520 S. Main St, Darlington, SC 29532 | 2007-11-16 |
| 1831282375 | Clifton M Wilson | Dentist | 103 Planters Dr, Darlington, SC 29532 | 2006-10-02 |
| 1376655100 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1018 S Governor Williams Hwy, Darlington, SC 29532 | 2006-08-31 |
| 1144243502 | South Carolina Baptist Ministries for The Aging Inc | Skilled Nursing Facility | 157 Home Ave, Darlington, SC 29532 | 2006-07-26 |
| 1487610200 | Pee Dee Healthcare Pa | Clinic/Center | 201cashua Street, Darlington, SC 29532 | 2006-04-21 |
| 1306805114 | Askins Baker Perry | Dentist | 110 Cherry St, Darlington, SC 29532 | 2006-03-21 |
| Find all providers in zip 29532 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540562 | Lilys In Home Care | Day Training, Developmentally Disabled Services | 1567 S Main St, Darlington, SC 29532-7731 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174976864 | Nicole Grippo-leodis | Day Training, Developmentally Disabled Services | 3041 Drewsky Ln Unit 304, Fort Mill, SC 29715-0108 | 2016-07-18 |
| 1720448517 | Mountain Top Adult Day Center | Day Training, Developmentally Disabled Services | 1941 Decker Blvd, Columbia, SC 29206-3470 | 2016-03-07 |
| 1780069427 | Hope's Home Care | Day Training, Developmentally Disabled Services | 889 Red Rd, Kingstree, SC 29556-7419 | 2015-07-23 |
| 1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
| 1184055543 | Anderson County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 214 Mcgee Rd, Anderson, SC 29625-2104 | 2013-12-10 |
| 1063845881 | Horry County Disabilities & Special Needs Board | Day Training, Developmentally Disabled Services | 250 Victory Ln, Conway, SC 29526-8650 | 2013-08-15 |
| 1245574672 | Glenforest School | Day Training, Developmentally Disabled Services | 1041 Harbor Dr, West Columbia, SC 29169-3609 | 2012-11-26 |
| 1962701169 | Autism Institute of South Carolina, LLC | Day Training, Developmentally Disabled Services | 3924 Forest Dr, Suite #3, Columbia, SC 29204-4150 | 2011-03-28 |
| 1053612523 | Solutions Health Services, Inc | Day Training, Developmentally Disabled Services | 27 Chelseabrook Ct, Mauldin, SC 29662-2700 | 2010-11-15 |
| 1295059848 | Marva Knight | Day Training, Developmentally Disabled Services | 167 Southside Pkwy, Bluffton, SC 29909-6076 | 2010-03-24 |
| Find all providers with the same taxonomy | ||||
| City | DARLINGTON |
| Zip Code | 29532 |
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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.