Mishawnna Industries LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MISHAWNNA INDUSTRIES LLC

Practice address

3200 Debidue LN
Sumter, SC 29150-1791

Phone

(803) 460-2792

Fax

(803) 574-3033

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Michelle James

Title

Owner/Ceo

Phone

(803) 460-2792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1326896648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DEBIDUE LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501791",
            "telephone_number": "803-460-2792",
            "fax_number": "803-574-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DEBIDUE LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501791",
            "telephone_number": "803-460-2792",
            "fax_number": "803-574-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHAWNNA INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "803-460-2792"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sumter, SC
• Providers in Sumter, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.