Organization Active NPI

Columbiaadult Care Inc.

  • Adult Day Care Clinic/Center
  • Columbia, SC
National Provider Identifier
1982652756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC019 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
EX0409MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Columbia Adult Care on Main2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.