SHADES OF LIFE LLC (NPI# 1912370214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912370214 |
| Entity Type | Organization |
| Organization Name | SHADES OF LIFE LLC |
| Practice Address |
1400 Laurel St Suite 2 Columbia SC 29201 |
| Mailing Address |
1400 Laurel St Ste 2 Columbia SC 29201-2546 |
| Practice Telephone | 8036090757 |
| Mailing Telephone | 8036090757 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | MR. RODNEY TATE BROWN (PRESIDENT) |
| Authorized Official Telephone | 8036090757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IHCP-0295 | SC | Agencies |
| Street Address |
1400 LAUREL ST SUITE 2 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| 1083227730 | Tamika Best | Home Health | 315 Mcrae St, Columbia, SC 29203-5472 | 2020-08-24 |
| 1841809506 | Precise Home Care Solutions LLC | Home Health | 811 Main St Ste 15, Columbia, MS 39429-2711 | 2020-07-29 |
| 1760005714 | Karing In Mind, LLC | Home Health | 7356 Garners Ferry Rd Ste 113, Columbia, SC 29209-2146 | 2020-05-26 |
| 1275153629 | Jd Healthcare Services, Inc. | Home Health | 8639 Hayshed Ln, Columbia, MD 21045-2622 | 2020-04-24 |
| 1952920233 | Theresa Marie Rogers | Home Health | 5 Clusters Ct, Columbia, SC 29210-4831 | 2020-04-15 |
| 1497374060 | James Holmes | Home Health | 140 Gills Crossing Rd, Columbia, SC 29223-3295 | 2020-04-13 |
| 1558994061 | Michelle Carolyn Collymore | Home Health | 3402 Maybank St, Columbia, SC 29204-2858 | 2020-02-13 |
| 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.