Organization Active NPI

Shades of Life LLC

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1912370214
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHCP-0295 Issued in SC
Legal business name
SHADES OF LIFE LLC
Practice address
1400 Laurel St Suite 2
Columbia, SC 29201
Phone
(803) 609-0757
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Mr. Rodney Tate Brown
Title
President
Phone
(803) 609-0757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHCP-0295 SC Primary

Addresses

Primary practice location

1400 Laurel St Suite 2
Columbia, SC 29201

Mailing address

1400 Laurel St Ste 2
Columbia, SC 29201-2546
Phone (803) 609-0757

National Provider Directory

National Provider Directory

Locations

1400 Laurel St
Ste 2
Columbia, SC 29201
Phone (803) 233-6932

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1912370214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAUREL ST STE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012546",
            "telephone_number": "803-609-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LAUREL ST SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-609-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "TATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-609-0757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0295",
            "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 9, 2015; 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.