CAROLINA HEALTH AND WELLNESS (NPI# 1811234206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811234206 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTH AND WELLNESS |
| Practice Address |
317 Silver Fox Ln Columbia SC 29212-2491 |
| Mailing Address |
2779 Highway 15 N Bishopville SC 29010-7101 |
| Practice Telephone | 8036061738 |
| Enumeration Date | 2013-01-06 |
| Last Update Date | 2013-01-06 |
| Authorized Official Name | CLARENCE STEWART DARBY III (OWNER) |
| Authorized Official Telephone | 8036061738 |
| Authorized Official Credential | PHD,PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | A440 | SC | Residential Treatment Facilities |
| Street Address |
317 SILVER FOX LN |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1538554738 | Finding Your Destiny, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 5788 Stevens Forest Road # 34, Columbia, MD 21045 | 2015-04-03 |
| 1699006353 | Murry's Community Care Home | Community Based Residential Treatment Facility, Mental Illness | 79 Sal Sue Ct, Columbia, SC 29203-3821 | 2010-01-20 |
| 1356584155 | A & A Residential Care Facility | Community Based Residential Treatment Facility, Mental Illness | 121 S Highland Forest Dr, Columbia, SC 29203-1915 | 2009-04-09 |
| 1215177076 | Whitaker's Cch | Community Based Residential Treatment Facility, Mental Illness | 79 Sal Sue Court, Columbia, SC 29203 | 2009-03-05 |
| 1578719043 | Rockhaven Cch | Community Based Residential Treatment Facility, Mental Illness | 524 Rockhaven Dr, Columbia, SC 29223-7805 | 2008-08-14 |
| 1750999421 | Hilda's Place Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 4994 Beaverbrook Rd, Columbia, MD 21044-1408 | 2020-07-20 |
| 1861014938 | Regan Moore Bernardoni | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-05-12 |
| 1407477664 | Rosanna Candace Duke | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-04-29 |
| 1124576277 | Palmetto Project Counseling Group | Community Based Residential Treatment Facility, Mental Illness | 1825 Saint Julian Pl, Columbia, SC 29204-2424 | 2016-09-19 |
| 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.