Re-Lax at Home Residential Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING

Practice address

112 Goodrich St
Columbia, SC 29223-7725

Phone

(803) 465-0446

Fax

(803) 845-4761

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Lavene Smith

Title

Owner/Operator

Phone

(803) 465-0446

Specialties & licenses 1

Addresses

Other names 1

• Casual Community Care Home Other name

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1922845387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GOODRICH ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237725",
            "telephone_number": "803-465-0446",
            "fax_number": "803-845-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GOODRICH ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237725",
            "telephone_number": "803-465-0446",
            "fax_number": "803-845-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-LAX AT HOME RESIDENTIAL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAVENE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-465-0446"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casual Community Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Columbia, SC
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.