Organization Active NPI

Justice Home Care LLC

  • Child Physical Disabilities Respite Care
  • Columbia, SC
National Provider Identifier
1639062797
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Legal business name
JUSTICE HOME CARE LLC
Practice address
1101 First Street South Ext Ste D
Columbia, SC 29209-3559
Phone
(803) 888-6037
Fax
(803) 888-6037
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Ms. Domonique W BassNPI 1437942380
Title
Owner
Phone
(803) 888-6037

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
Home Health Agency 251E00000X NU
Respite Care 385H00000X NU
Child Physical Disabilities Respite Care 385HR2065X NU Primary

Addresses

Primary practice location

1101 First Street South Ext Ste D
Columbia, SC 29209-3559

Mailing address

1101 First Street South Ext Ste D
Columbia, SC 29209-3559
Phone (803) 888-6037

National Provider Directory

National Provider Directory

Locations

1101 1st Street South Ext
Ste D
Columbia, SC 29209
Phone (803) 446-3209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1639062797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FIRST STREET SOUTH EXT STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093559",
            "telephone_number": "803-888-6037",
            "fax_number": "803-888-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FIRST STREET SOUTH EXT STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093559",
            "telephone_number": "803-888-6037",
            "fax_number": "803-888-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-888-6037",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 29, 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.