MIRANDA WILLIS ADULT DAY CARE, LLC (NPI# 1902215296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902215296 |
| Entity Type | Organization |
| Organization Name | MIRANDA WILLIS ADULT DAY CARE, LLC |
| Practice Address |
5932 Mcmillian Circle Columbia SC 29212 |
| Practice Telephone | 8035867455 |
| Mailing Telephone | 8035867455 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | MS. CRYSTAL M WILLIS (CEO) |
| Authorized Official Telephone | 8035867455 |
| Authorized Official Credential | LBSW, SW-G, CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 10532 | SC | Behavioral Health & Social Service Providers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
5932 MCMILLIAN CIRCLE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212 |
| 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 |
| 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 |
| 1366531055 | Irmo Family Pharmacy LLC | Pharmacy | 7001 St Andrews Rd, A-16, Columbia, SC 29212 | 2006-10-12 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658511 | Palmetto Oaks Adult Day Health Center | Clinic/Center | 6074 Saint Andrews Rd, Columbia, SC 29212-3120 | 2018-08-10 |
| 1639680333 | Close To Home, Ll | Clinic/Center | 1204 Rogers St Ste 101, Columbia, MO 65201-4736 | 2017-10-20 |
| 1700261633 | Shine Senior Center | Clinic/Center | 9198 Red Branch Rd Ste H, Columbia, MD 21045-2017 | 2015-07-21 |
| 1477948354 | Bliss Adult Day Care | Clinic/Center | 203 N Providence Rd Ste 201, Columbia, MO 65203-4189 | 2015-03-30 |
| 1013350370 | Rainbow Terrace Adult Day Care Center, LLC | Clinic/Center | 9135 Guilford Rd, Suite 100, Columbia, MD 21046-2577 | 2013-04-16 |
| 1093054264 | Journey Adult Services Inc | Clinic/Center | 115 Gayle Pond Trce, Columbia, SC 29209-2728 | 2013-02-07 |
| 1811278443 | Team 3 Inc | Clinic/Center | 9075 Guilford Rd, Columbia, MD 21046-3145 | 2011-09-09 |
| 1548548704 | Rainbow of Howard County, LLC | Clinic/Center | 7277 Eden Brook Dr, Columbia, MD 21046-1497 | 2011-07-21 |
| 1427201557 | Dent,s Alternative Adult Daycare Health Services,llp | Clinic/Center | 7351 Parklane Rd, Columbia, SC 29223-7651 | 2008-11-03 |
| 1508057175 | Evergreen Senior Day Center | Clinic/Center | 9405 Guilford Rd, Columbia, MD 21046-1911 | 2007-08-07 |
| 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.