ALEXIS JACOBS (NPI# 1003417585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003417585 |
| Entity Type | Individual |
| Full Name | ALEXIS JACOBS |
| Practice Address |
100 Mondamin Rd Columbia SC 29210-8216 |
| Practice Telephone | 8034797696 |
| Mailing Telephone | 8034797696 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | SC | Transportation Services |
| Street Address |
100 MONDAMIN RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952939 | Jacobs Perspective Community Care Services | Non-emergency Medical Transport (VAN) | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497308522 | C,s&c Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Arthur B Johnson Ln, Columbia, MS 39429-8284 | 2019-07-17 |
| 1508426834 | Angels Transportation | Non-emergency Medical Transport (VAN) | 61 Weathers Ln, Columbia, MS 39429-8942 | 2019-06-18 |
| 1578121083 | Oats, Inc. | Non-emergency Medical Transport (VAN) | 2501 Maguire Blvd Ste 101, Columbia, MO 65201-3705 | 2019-05-30 |
| 1518442722 | Frederick D Paugh | Non-emergency Medical Transport (VAN) | 1006 Mehl Rd, Columbia, MO 65201-5530 | 2018-10-03 |
| 1023595543 | Linda K Martin | Non-emergency Medical Transport (VAN) | 102 Majestic Dr, Columbia, SC 29223-7742 | 2018-07-26 |
| 1154817252 | Morning Star Transportation, LLC | Non-emergency Medical Transport (VAN) | 1749 Gates Rd, Columbia, MS 39429-8828 | 2018-07-02 |
| 1487148375 | A1 Transit of Mississippi LLC | Non-emergency Medical Transport (VAN) | 4 Jims Rd, Columbia, MS 39429-8265 | 2018-06-14 |
| 1891285730 | Charles Green | Non-emergency Medical Transport (VAN) | 89 Hunt Ct Apt A, Columbia, SC 29206-5958 | 2018-05-16 |
| 1619464229 | Global Transportation, Inc. | Non-emergency Medical Transport (VAN) | 545 Eagle Day Ave, Columbia, MS 39429-3605 | 2018-04-18 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.