MOUNTAIN TOP ADULT DAY CENTER (NPI# 1720448517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720448517 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN TOP ADULT DAY CENTER |
| Other Organization Name | MTADC |
| Practice Address |
1941 Decker Blvd Columbia SC 29206-3470 |
| Practice Telephone | 8037870020 |
| Practice Fax Number | 8037870020 |
| Mailing Telephone | 8037870020 |
| Mailing Fax Number | 8037870020 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | DR. CAROLYN A KENNEDY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8037365872 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 2016-47738-46733 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX1304 | 05 |
| Other Name | Type Code |
|---|---|
| MTADC | Doing Business As Name - Organization |
| Street Address |
1941 DECKER BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-3470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275994022 | Kennedy's Assistive Living and Educational Facilty | Day Training, Developmentally Disabled Services | 1941 Decker Blvd, Columbia, SC 29206-3470 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| 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 |
|---|---|---|---|---|
| 1538716246 | Sam's Hope, Incorporated | Day Training, Developmentally Disabled Services | 3 Knowlton Rd, Columbia, NJ 07832-2207 | 2019-08-19 |
| 1326417742 | Ease Healthcare | Day Training, Developmentally Disabled Services | 22 Broadway Village Dr Apt B, Apt B, Columbia, MO 65201-8650 | 2015-09-15 |
| 1568800852 | Monarch | Day Training, Developmentally Disabled Services | 1208 Us Highway 64 E, Columbia, NC 27925-8890 | 2013-06-07 |
| 1073887402 | Rehab Resources, LLC | Day Training, Developmentally Disabled Services | 1669 Grants Road, Columbia, TN 38401 | 2012-03-02 |
| 1962701169 | Autism Institute of South Carolina, LLC | Day Training, Developmentally Disabled Services | 3924 Forest Dr, Suite #3, Columbia, SC 29204-4150 | 2011-03-28 |
| 1285949743 | Express Medical Staffing, Inc. | Day Training, Developmentally Disabled Services | 228 Riser St, Columbia, LA 71418-4335 | 2010-08-09 |
| 1437204492 | Alternative Community Training, Inc. | Day Training, Developmentally Disabled Services | 2200 Burlington St, Columbia, MO 65202-1987 | 2007-01-23 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1104998673 | Cheryl Gajadhar | Day Training, Developmentally Disabled Services | 3830 Davies Dr, Columbia, SC 29223-4709 | 2006-11-14 |
| 1134746365 | A New Horizon, Inc | Day Training, Developmentally Disabled Services | 10320 Little Patuxent Pkwy Ste 200, Columbia, MD 21044-3344 | 2020-07-04 |
| 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.