MCMILLIAN'S COMMUNITY CARE HOME (NPI# 1912345596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912345596 |
| Entity Type | Organization |
| Organization Name | MCMILLIAN'S COMMUNITY CARE HOME |
| Practice Address |
5748 Knightner St Columbia SC 29203-3508 |
| Practice Telephone | 8037547089 |
| Mailing Telephone | 8037547089 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | MRS. KAREN MCMILLIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8037547089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | CRC0971 | SC | Residential Treatment Facilities |
| Street Address |
5748 KNIGHTNER ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897022 | D'ovionne Nydasia Potter | Residential Treatment Facility, Physical Disabilities | 202 Chapman Ln, Columbia, TN 38401-2622 | 2019-08-19 |
| 1174958474 | Heavenly Angel Wings Retirement Home | Residential Treatment Facility, Physical Disabilities | 8404 Knifley Rd, Columbia, KY 42728-7505 | 2013-09-05 |
| 1871717264 | Humanim Inc | Residential Treatment Facility, Physical Disabilities | 6355 Woodside Ct, Columbia, MD 21046-1071 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417497314 | Wayne Chavis | Residential Treatment Facility, Physical Disabilities | 7223 Kendallwood Ct, Fort Mill, SC 29715-6219 | 2017-02-27 |
| 1205202413 | Johnna Revis | Residential Treatment Facility, Physical Disabilities | 5768 Highway 14, Gray Court, SC 29645-6764 | 2015-08-12 |
| 1336588243 | Serenity Manor | Residential Treatment Facility, Physical Disabilities | 4018 S Rhett Ave, N Charleston, SC 29405-7163 | 2013-06-24 |
| 1427236785 | Health Related Personnel Services, Inc. | Residential Treatment Facility, Physical Disabilities | 1157 Spring St, Greenwood, SC 29646-3833 | 2008-02-08 |
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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.