NPIMap

Organization Active NPI

Mack's Loving Care

Doing business as Mack's Senior Loving Care

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1386095164
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2016-51567-50461 Issued in SC
Legal business name
MACK'S LOVING CARE
Doing business as
Mack's Senior Loving Care
Practice address
55 Crooked Creek Place
Columbia, SC 29229
Phone
(803) 250-7396
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Nikita Smith MackNPI 1033566385
Title
Healthcare Administrator
Phone
(803) 250-7396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2016-51567-50461 SC Primary

Addresses

Primary practice location

55 Crooked Creek Place
Columbia, SC 29229

Mailing address

55 Crooked Creek Place
Columbia, SC 29229
Phone (803) 250-7396

Other names 1

  • Mack's Senior Loving Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1386095164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CROOKED CREEK PLACE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-250-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CROOKED CREEK PLACE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-250-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK'S LOVING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-250-7396"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "2016-51567-50461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack's Senior Loving Care",
            "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 Jun 23, 2016; 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.