Organization Active NPI

Mihs of Winnsboro, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Winnsboro, SC
National Provider Identifier
1407633597
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MIHS OF WINNSBORO, LLC
Practice address
1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180-8932
Phone
(310) 547-7501
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Giulianna Boari
Title
Cfo
Phone
(714) 713-4085

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1403 Greenbrier Mossydale Rd
Winnsboro, SC 29180-8932

Mailing address

28059 US 19 N Ste 205
Clearwater, FL 33761-2620

Other names 1

  • The Wave of Columbia Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2300013The Wave of Columbia1403 Greenbrier Mossydale Road, Winnsboro, SC 29180Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1407633597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28059 US 19 N STE 205",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER MOSSYDALE RD",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291808932",
            "telephone_number": "310-547-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHS OF WINNSBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BOARI",
        "authorized_official_first_name": "GIULIANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-713-4085"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wave of Columbia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.