Organization Active NPI

Choochoos Miracle Corner Corporation

  • In Home Supportive Care Agency
  • Columbia, SC
National Provider Identifier
1639045339
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHOOCHOOS MIRACLE CORNER CORPORATION
Practice address
1103 Belleview St # 104
Columbia, SC 29201-1871
Phone
(803) 845-8020
NPI assigned
Oct 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Dr. Carine Jules, REV. DR, LPNNPI 1811127103
Title
Administrator
Phone
(803) 845-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary
Religious Nonmedical Health Care Institution 282J00000X

Addresses

Primary practice location

1103 Belleview St # 104
Columbia, SC 29201-1871

Mailing address

2019 Driftwood Dr
Columbia, SC 29210-6703
Phone (803) 845-8020

National Provider Directory

National Provider Directory

Locations

1103 Belleview St
#104
Columbia, SC 29201
Phone (803) 845-8020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1639045339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 DRIFTWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106703",
            "telephone_number": "803-845-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BELLEVIEW ST # 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011871",
            "telephone_number": "803-845-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOCHOOS MIRACLE CORNER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "JULES",
        "authorized_official_first_name": "CARINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-845-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "REV. DR, LPN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 2025; 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.