Active NPI
Ravant Senior Care LLC
Doing business as Ravant Lab Services
- Home Health Agency
- Columbia, SC
National Provider Identifier
1417627894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RAVANT SENIOR CARE LLC
- Doing business as
- Ravant Lab Services
- Practice address
- 1 Windsor CV Ste 106
Columbia, SC 29223-1833 - Phone
- (803) 761-9010
- Fax
- (803) 764-4650
- NPI assigned
- Sep 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefanie R. Gifford
- Title
- Director
- Phone
- (843) 263-3701
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
1 Windsor CV Ste 106
Columbia, SC 29223-1833
Mailing address
1 Windsor CV Ste 106
Columbia, SC 29223-1833
Phone (803) 761-9010
Other names 1
- Ravant Lab Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006002966 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365840246 | Practice locations: Columbia, SC |
National Provider Directory
National Provider DirectoryLocations
1 Windsor Cv
Ste 106
Columbia, SC 29223
Phone (803) 239-7588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1417627894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WINDSOR CV STE 106",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231833",
"telephone_number": "803-761-9010",
"fax_number": "803-764-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINDSOR CV STE 106",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231833",
"telephone_number": "803-761-9010",
"fax_number": "803-764-4650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVANT SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-16",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "GIFFORD",
"authorized_official_first_name": "STEFANIE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "843-263-3701"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ravant Lab Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ravant Lab Services",
"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 May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.