Providence Hospital Northeast Transitional Care Unit

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

593N98 Issued in SC

Legal business name

PROVIDENCE HOSPITAL NORTHEAST TRANSITIONAL CARE UNIT

Doing business as

Providence Northeast TCU

Practice address

120 Gateway Corporate Blvd
Columbia, SC 29203-9802

Phone

(803) 865-4500

Fax

(803) 865-4515

NPI assigned

Jun 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Ann Karam, CSA

Title

President and Ceo

Phone

(803) 256-5313

Specialties & licenses 1

Addresses

Other names 1

• Providence Northeast TCU Doing business as

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215932405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042026",
            "telephone_number": "803-256-5300",
            "fax_number": "803-256-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GATEWAY CORPORATE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039802",
            "telephone_number": "803-865-4500",
            "fax_number": "803-865-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPITAL NORTHEAST TRANSITIONAL CARE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "803-256-5313",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "593N98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Northeast TCU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Group Practices II, LLC (Providence Heart)
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• Providence Health Network LLC (Laurel Imaging Center)
• Providence Health Network, LLC (Columbia Medical Associates)
• Providence Hospital LLC (Hospital Professional Services)
• Providence Hospital, LLC (Providence Health)
• Providence Occupational Health Services LLC
• Providence Orthopaedic Group LLC (Moore Orthopaedic Clinic)
• Providence Orthopaedic Group, LLC (Moore Orthopaedic Clinic)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)

• Skilled Nursing Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.