McMillian'S Community Care Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

CRC0971 Issued in SC

Legal business name

MCMILLIAN'S COMMUNITY CARE HOME

Practice address

5748 Knightner St
Columbia, SC 29203-3508

Phone

(803) 754-7089

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Karen McMillian

Title

Administrator

Phone

(803) 754-7089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1912345596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 KNIGHTNER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033508",
            "telephone_number": "803-754-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5748 KNIGHTNER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033508",
            "telephone_number": "803-754-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLIAN'S COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-754-7089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "SC",
            "license": "CRC0971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey M McMillan, MD
• Lachish Jasmin McClurkin McMillan, RN
• Stephanie McMillan
• Damiya McMillian
• Keshia McMillian, RKT
• Lotonda M McMullin, MA
• Christie McMurry, NP
• Russell Dale McMurry, ACNP
• William McNary
• Tama McNaughton

• Physical Disabilities Residential Treatment Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.