FC Midlands West Columbia, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FC MIDLANDS WEST COLUMBIA, LLC

Doing business as

Carolina Gardens at West Colombia

Practice address

2705 Leaphart Rd
West Columbia, SC 29169-3335

Phone

(803) 939-3000

Fax

(803) 739-2181

NPI assigned

Aug 19, 2015

Last updated

Nov 20, 2015By 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

Scott Brown

Title

President

Phone

(770) 754-9660

Specialties & licenses 1

Addresses

Other names 1

• Carolina Gardens at West Colombia Doing business as

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1407222904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LENOX ROAD",
            "address_2": "SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "770-754-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693335",
            "telephone_number": "803-939-3000",
            "fax_number": "803-739-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC MIDLANDS WEST COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-754-9660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Gardens at West Colombia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlena J Farley, RD
• Pattie Marie Farlow, ANP-BC
• Marcela Dolores Farrer, DPM
• Sherri Faust, PHARMD
• Heather Renee Fayard, OTRL
• Richard JC Felton, MD
• Kimberly L Fender, MA LPC
• Sarah Cato Fender, APRN
• Lavon Fenderson, DNP, FNP-BC
• Kayla Ferguson

• Assisted Living Facility in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.