Organization Active NPI

The Palace Corporate Office & Warehouse

  • Contractor
  • Columbia, SC
National Provider Identifier
1730040189
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
THE PALACE CORPORATE OFFICE & WAREHOUSE
Practice address
1122 Lady St
Columbia, SC 29201-3218
Phone
(803) 995-2153
Fax
(803) 995-2153
NPI assigned
Nov 24, 2025
Organization subpart
Yes
Parent organization
THE PALACE ORGANIZATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Tara Kay Martin, CPA, EA, PTIN
Title
Ceo, Corporate Executive Officer
Phone
(803) 995-2153

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
Registered Dietetic TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 136A00000X
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

1122 Lady St
Columbia, SC 29201-3218

Mailing address

1122 Lady St
Columbia, SC 29201-3218
Phone (803) 995-2153

Other practice location 1

858 Main Street
A Governors Daughter, Inc.
Billings, MT 59105
Phone (803) 995-3197

National Provider Directory

National Provider Directory
Part of
The Palace Corporate Office Warehouse

Locations

1122 Lady St
Columbia, SC 29201
Phone (301) 789-4583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1730040189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LADY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013218",
            "telephone_number": "803-995-2153",
            "fax_number": "803-995-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LADY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013218",
            "telephone_number": "803-995-2153",
            "fax_number": "803-995-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Main Street",
            "address_2": "A Governors Daughter, Inc.",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "59105",
            "country_code": "US",
            "telephone_number": "803-995-3197",
            "fax_number": "803-995-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PALACE CORPORATE OFFICE & WAREHOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PALACE ORGANIZATION",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO, CORPORATE EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-995-2153",
        "authorized_official_credential": "CPA, EA, PTIN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "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 Nov 24, 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.