NPIMap

Organization Active NPI

SC DDSN (Midlands Center)

  • Intellectual Disabilities Intermediate Care Facility
  • Columbia, SC
National Provider Identifier
1326189481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
11487 Issued in SC
Legal business name
SC DDSN (MIDLANDS CENTER)
Practice address
8301 Farrow Rd
Columbia, SC 29203-3245
Phone
(803) 935-7543
Fax
(803) 935-6781
NPI assigned
Feb 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manorama Mishra, M.D.NPI 1740416676
Title
Staff Physician
Phone
(803) 935-6728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 11487 SC Primary

Addresses

Primary practice location

8301 Farrow Rd
Columbia, SC 29203-3245

Mailing address

8301 Farrow Rd
Columbia, SC 29203-3245
Phone (803) 935-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1326189481. Details of each certification follow.

  • CCN 42G009 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details
  • CCN 42G025 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 42G009

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
First Midlands ICF/IID
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 4, 1976
Last certification
Jul 24, 2025
Beds
96
Ownership / control type
State
Facility address
8301 Farrow Road
Columbia, SC 29203

Intermediate care facility for individuals with intellectual disabilities certification: CCN 42G025

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Third Midlands ICF/IID
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 11, 1978
Last certification
Aug 29, 2024
Beds
244
Ownership / control type
State
Facility address
8301 Farrow Road
Columbia, SC 29203

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Department of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326189481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033245",
            "telephone_number": "803-935-7543",
            "fax_number": "803-935-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033245",
            "telephone_number": "803-935-7543",
            "fax_number": "803-935-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DDSN (MIDLANDS CENTER)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "MANORAMA",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "803-935-6728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "SC",
            "license": "11487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.