Active NPI
Micalline, LLC
- Home Modifications Contractor
- Columbia, SC
National Provider Identifier
1821731811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- MICALLINE, LLC
- Practice address
- 1717 Pineview Dr
Columbia, SC 29209-5068 - Phone
- (803) 783-5110
- Fax
- (803) 783-5113
- NPI assigned
- Apr 18, 2022
- 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
- Lynn M Sims
- Title
- Office Manager
- Phone
- (803) 783-5112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
1717 Pineview Dr
Columbia, SC 29209-5068
Mailing address
1717 Pineview Dr
Columbia, SC 29209-5068
Phone (803) 783-5110
National Provider Directory
National Provider DirectoryLocations
1717 Pineview Dr
Columbia, SC 29209
Phone (803) 783-5110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1821731811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 PINEVIEW DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292095068",
"telephone_number": "803-783-5110",
"fax_number": "803-783-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 PINEVIEW DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292095068",
"telephone_number": "803-783-5110",
"fax_number": "803-783-5113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICALLINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-783-5112"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"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 Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.