MOM4MOMS (NPI# 1689146409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689146409 |
| Entity Type | Organization |
| Organization Name | MOM4MOMS |
| Practice Address |
3905 W Beltline Blvd Ste 17 Columbia SC 29204-1503 |
| Mailing Address |
614 Harbour Pointe Dr Columbia SC 29229-7591 |
| Practice Telephone | 8039060216 |
| Mailing Telephone | 8039060216 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | MS. SHANNA RENEE GRAHAM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8035529540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| South Carolina Diaper Bank | Doing Business As Name - Organization |
| Street Address |
3905 W BELTLINE BLVD STE 17 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1457975575 | Siege Consulting LLC | Durable Medical Equipment & Medical Supplies | 7125 Thomas Edison Dr Ste 107, Columbia, MD 21046-2208 | 2020-06-04 |
| 1497385454 | Phenomenal Hair Replacement Services LLC | Durable Medical Equipment & Medical Supplies | 9400 Two Notch Rd Ste E1, Columbia, SC 29223-5946 | 2020-01-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1447749130 | Kevin Anthony Rasberry | Durable Medical Equipment & Medical Supplies | 482 Marsh Pointe Dr, Columbia, SC 29229-7025 | 2018-05-08 |
| 1811486285 | F & M Logistics | Durable Medical Equipment & Medical Supplies | 9650 Santiago Rd Ste 7, Columbia, MD 21045-3960 | 2018-05-01 |
| 1558884544 | Boone Health Supplies | Durable Medical Equipment & Medical Supplies | 303 N Stadium Blvd Fl 2, Columbia, MO 65203-1493 | 2017-07-20 |
| 1780113696 | Reliance Mobility, LLC | Durable Medical Equipment & Medical Supplies | 702 Lion Pkwy, Columbia, TN 38401-4721 | 2017-06-06 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| 1336512623 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 501 Gervais St, Columbia, SC 29201-3045 | 2015-11-09 |
| 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.