Organization Active NPI

Ravant Senior Care LLC

Doing business as Ravant Lab Services

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1417627894
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 5, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006002966 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2365840246 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.