MICHELLE CAROLYN COLLYMORE (NPI# 1558994061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558994061 |
| Entity Type | Individual |
| Full Name | MICHELLE CAROLYN COLLYMORE |
| Practice Address |
3402 Maybank St Columbia SC 29204-2858 |
| Practice Telephone | 8037280675 |
| Practice Fax Number | 8034350786 |
| Mailing Telephone | 8037280675 |
| Mailing Fax Number | 8034350786 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 9691 | SC | Agencies |
| Street Address |
3402 MAYBANK ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| 1083227730 | Tamika Best | Home Health | 315 Mcrae St, Columbia, SC 29203-5472 | 2020-08-24 |
| 1841809506 | Precise Home Care Solutions LLC | Home Health | 811 Main St Ste 15, Columbia, MS 39429-2711 | 2020-07-29 |
| 1760005714 | Karing In Mind, LLC | Home Health | 7356 Garners Ferry Rd Ste 113, Columbia, SC 29209-2146 | 2020-05-26 |
| 1275153629 | Jd Healthcare Services, Inc. | Home Health | 8639 Hayshed Ln, Columbia, MD 21045-2622 | 2020-04-24 |
| 1952920233 | Theresa Marie Rogers | Home Health | 5 Clusters Ct, Columbia, SC 29210-4831 | 2020-04-15 |
| 1497374060 | James Holmes | Home Health | 140 Gills Crossing Rd, Columbia, SC 29223-3295 | 2020-04-13 |
| 1346870995 | Caring Hearts Home Care Service, LLC | Home Health | 136 Forum Dr Ste C4, Columbia, SC 29229-7942 | 2020-01-23 |
| 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.