NPIMap

Organization Active NPI

Advantage Health Systems

Doing business as CarePro Medical One

  • Nursing Care Agency
  • Columbia, SC
National Provider Identifier
1710906771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ADVANTAGE HEALTH SYSTEMS
Doing business as
CarePro Medical One
Practice address
1101 Elmwood Ave
Suite G
Columbia, SC 29201-2127
Phone
(803) 758-4000
Fax
(803) 758-4001
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Valerie M Aiken
Title
Coo
Phone
(803) 758-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1101 Elmwood Ave
Suite G
Columbia, SC 29201-2127

Mailing address

1101 Elmwood Ave
Suite G
Columbia, SC 29201-2127
Phone (803) 758-4000

Other identifiers 7

IdentifierTypeStateIssuer
EX0350MedicaidSC
EX0657MedicaidSC
EX0212MedicaidSC
EX0681MedicaidSC
EX0499MedicaidSC
EXG028MedicaidSC
EX0347MedicaidSC

Other names 1

  • CarePro Medical One Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advantage Health Systems7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710906771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ELMWOOD AVE",
            "address_2": "SUITE G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012127",
            "telephone_number": "803-758-4000",
            "fax_number": "803-758-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ELMWOOD AVE",
            "address_2": "SUITE G",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012127",
            "telephone_number": "803-758-4000",
            "fax_number": "803-758-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AIKEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "803-758-4000"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0350",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0657",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0212",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0681",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0499",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXG028",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0347",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Medical One",
            "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 Aug 22, 2020; 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.