Organization Active NPI

Micaw Healthcare

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1184800823
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MICAW HEALTHCARE
Practice address
122 Ashley Hall Road
Columbia, SC 29229-9177
Phone
(803) 699-0769
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Cawarnest B Cruse
Title
Ceo
Phone
(240) 253-7826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

122 Ashley Hall Road
Columbia, SC 29229-9177

Mailing address

122 Ashley Hall Road
Columbia, SC 29229-9177
Phone (803) 699-0769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1184800823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ASHLEY HALL ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299177",
            "telephone_number": "803-699-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ASHLEY HALL ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299177",
            "telephone_number": "803-699-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAW HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "CAWARNEST",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-253-7826"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 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.