South Carolina Center for Grassroots

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

SOUTH CAROLINA CENTER FOR GRASSROOTS

Practice address

1105 Belleview St
Columbia, SC 29201-1839

Phone

(803) 454-1130

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Thomas J. Simuel

Title

President/Ceo

Phone

(803) 454-1130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1609059989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BELLEVIEW ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-454-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BELLEVIEW ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-454-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CENTER FOR GRASSROOTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "SIMUEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "803-454-1130"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany A Soto, PSYD
• Carlos A Soto, MD
• Soul & Spirit Restorative Care LLC
• Soulshine Pelvic Health and Wellness, LLC
• South Carolina Anesthesia Partners LLC
• South Carolina Center for Intergrative Medicine
• South Carolina Commission for the Blind
• South Carolina Community Dentistry Service
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy LLC

• Case Manager/Care Coordinator in Columbia, SC
• Providers in Columbia, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.