Columbia Adult Care on Main

Primary specialty

Respite CareTaxonomy code 385H00000X

License

ADC0292 Issued in SC

Legal business name

COLUMBIA ADULT CARE ON MAIN

Practice address

2101 Main St Ste H
Columbia, SC 29201-2159

Phone

(803) 212-7005

Fax

(803) 212-7005

NPI assigned

Jan 23, 2010

Last updated

Jan 23, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

COLUMBIA ADULT CARE INCAs reported in NPPES

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

Authorized official

Name

Mrs. Tammy M Quarles

Title

Director

Phone

(803) 212-7005

Specialties & licenses 1

Addresses

Tax ID family

Columbiaadult Care Inc2 organizations share this tax ID, including this one

Part of

Columbiaadult Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbiaadult Care Inc.

  • Adult Day Care Clinic/Center
  • Columbia, SC
  • NPI 1982652756
  NPD tax ID

Locations

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264204800000",
    "number": "1396076857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053434",
            "telephone_number": "803-212-7005",
            "fax_number": "803-212-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MAIN ST STE H",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012159",
            "telephone_number": "803-212-7005",
            "fax_number": "803-212-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ADULT CARE ON MAIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA ADULT CARE INC",
        "enumeration_date": "2010-01-23",
        "last_updated": "2010-01-23",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-212-7005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "SC",
            "license": "ADC0292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Colquitt, LPC
• Shenita Renea Colson, APRN
• Charlotte Colt
• Debra Colter, RT
• Lashon Colter
• Columbia Allergy Clinic
• Columbia Area Mental Health
• Columbia Area Mental Health
• Columbia Area Mental Health
• Columbia Area Mental Health

• Respite Care in Columbia, SC
• Providers in Columbia, SC by specialty
• Respite Care in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2010; 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.