Active NPI
Mane Illusions LLC
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
National Provider Identifier
1720994395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.