Compassionate Care Case Management Services, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

COMPASSIONATE CARE CASE MANAGEMENT SERVICES, LLC

Practice address

4 Hidden Sands CT
Columbia, SC 29229-7615

Phone

(803) 514-3483

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Young, M.ED, M.A.

Title

Owner

Phone

(803) 514-3483

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1700243979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIDDEN SANDS CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297615",
            "telephone_number": "803-514-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIDDEN SANDS CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297615",
            "telephone_number": "803-514-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE CASE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-514-3483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, M.A."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY LONG TERM CARE",
            "identifier": "0562",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Columbia, SC
• Providers in Columbia, SC by specialty
• Point of Service in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.