SOUTH CAROLINA CENTER FOR GRASSROOTS (NPI# 1609059989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609059989 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CENTER FOR GRASSROOTS |
| Practice Address |
1105 Belleview St Columbia SC 29201-1839 |
| Practice Telephone | 8034541130 |
| Mailing Telephone | 8034541130 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | THOMAS J. SIMUEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8034541130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1105 BELLEVIEW ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023461589 | Bertha Yvette Myers | Community/Behavioral Health | 1105 Belleview St, Columbia, SC 29201-1839 | 2016-07-20 |
| 1063689594 | Clergy for Educational Options | Midwife, Lay | 1105 Belleview St, 1105, Columbia, SC 29201-1839 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045122 | Laquile West | Case Manager/Care Coordinator | 312 Angus Dr, Columbia, SC 29223-7758 | 2019-07-16 |
| 1073014247 | Workers Comp Consulting Services LLC | Case Manager/Care Coordinator | 4611 Hard Scrabble Rd Ste 109-101, Columbia, SC 29229-8584 | 2018-02-23 |
| 1972013324 | Labreeshya Critton | Case Manager/Care Coordinator | 6907 Hwy 165 South, Columbia, LA 71415 | 2017-10-11 |
| 1467970558 | Leticia Nichole Branham | Case Manager/Care Coordinator | 352 Davis Ln, Columbia, KY 42728-8884 | 2017-09-08 |
| 1053835645 | Latonya Jones | Case Manager/Care Coordinator | 1313 May Oak Cir, Columbia, SC 29229-9291 | 2017-07-26 |
| 1982126785 | Amber Smith | Case Manager/Care Coordinator | 1615 Hergett Dr, Columbia, SC 29203-5967 | 2017-07-13 |
| 1316499700 | Soncharre Hodges | Case Manager/Care Coordinator | 1222 Medical Center Dr # Dt, Columbia, TN 38401-6402 | 2016-11-01 |
| 1801245923 | Stephanie Dawn Dykes | Case Manager/Care Coordinator | 271 R Gowen Rd, Columbia, KY 42728-8136 | 2016-06-09 |
| 1326494915 | Kiara Harris | Case Manager/Care Coordinator | 1735 Saint Julian Pl, Columbia, SC 29204-2402 | 2016-05-12 |
| 1205290657 | Rachel Steward | Case Manager/Care Coordinator | 6907 Old Hwy 165 South, Columbia, LA 71418 | 2016-04-12 |
| 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.