Organization Active NPI

Micalline, LLC

  • Home Modifications Contractor
  • Columbia, SC
National Provider Identifier
1821731811
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
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

Updated by the provider on Apr 18, 2022

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.