Active NPI
Columbiaadult Care Inc.
- Adult Day Care Clinic/Center
- Columbia, SC
National Provider Identifier
1982652756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC019
- Legal business name
- COLUMBIAADULT CARE INC.
- Practice address
- 3127 Rosewood Dr
Columbia, SC 29205-3434 - Phone
- (803) 771-7108
- Fax
- (803) 771-7108
- NPI assigned
- May 4, 2006
- 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
- Mrs. Tammy Marshall Quarles, BSRN
- Title
- Director
- Phone
- (803) 771-7108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | ADC019 | SC | Primary |
Addresses
Primary practice location
3127 Rosewood Dr
Columbia, SC 29205-3434
Mailing address
3127 Rosewood Dr
Columbia, SC 29205-3434
Phone (803) 771-7108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0409 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Columbia Adult Care on Main
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Columbia, SC
- NPI 1396076857
Locations
3127 Rosewood Dr
Columbia, SC 29205
Phone (803) 771-7108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982652756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 ROSEWOOD DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053434",
"telephone_number": "803-771-7108",
"fax_number": "803-771-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 ROSEWOOD DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053434",
"telephone_number": "803-771-7108",
"fax_number": "803-771-7108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIAADULT CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QUARLES",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "MARSHALL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-771-7108",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSRN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "SC",
"license": "ADC019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0409",
"state": "SC"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.