Organization Active NPI

Mane Illusions LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
National Provider Identifier
1720994395
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MANE ILLUSIONS LLC
Practice address
2800 Bush River Rd Ste 5
Columbia, SC 29210-5662
Phone
(803) 201-4702
NPI assigned
Aug 21, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Ms. Nicole Jovan Robinson
Title
Owner
Phone
(803) 201-4702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2800 Bush River Rd Ste 5
Columbia, SC 29210-5662

Mailing address

227 Grandflora LN
Columbia, SC 29212-8541
Phone (803) 201-4702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1720994395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GRANDFLORA LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128541",
            "telephone_number": "803-201-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BUSH RIVER RD STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105662",
            "telephone_number": "803-201-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE ILLUSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "JOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-201-4702",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 Aug 21, 2026; 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.