Organization Active NPI

Midlands Senior Care

  • Emergency Response System Companies
  • Columbia, SC
National Provider Identifier
1063621951
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
Legal business name
MIDLANDS SENIOR CARE
Doing business as
Home Helpers
Practice address
619 Chatham Ave
Columbia, SC 29205-2734
Phone
(803) 765-9096
Fax
(803) 765-9076
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kristin Davis Van Sant
Title
Manager
Phone
(803) 765-9096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SC
Emergency Response System Companies 333300000X SC Primary

Addresses

Primary practice location

619 Chatham Ave
Columbia, SC 29205-2734

Mailing address

619 Chatham Ave
Columbia, SC 29205-2734
Phone (803) 765-9096

Other identifiers 1

IdentifierTypeStateIssuer
EX0746MedicaidSC

Other names 1

  • Home Helpers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Direct Link2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

619 Chatham Ave
Columbia, SC 29205
Phone (803) 765-9096

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1063621951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 CHATHAM AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052734",
            "telephone_number": "803-765-9096",
            "fax_number": "803-765-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 CHATHAM AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052734",
            "telephone_number": "803-765-9096",
            "fax_number": "803-765-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "VAN SANT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-765-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0746",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.