CAROLINA GARDENS AT WEST COLOMBIA (FC MIDLANDS WEST COLUMBIA, LLC) NPI 1407222904

Assisted Living Facility in West Columbia, SC

NPI 1407222904 Organization Assisted Living Facility

About CAROLINA GARDENS AT WEST COLOMBIA (FC MIDLANDS WEST COLUMBIA, LLC)

Carolina Gardens At West Colombia (fc Midlands West Columbia, Llc) is a provider established in West Columbia, South Carolina specializing in assisted living facility. The NPI number of Carolina Gardens At West Colombia (fc Midlands West Columbia, Llc) is 1407222904 and was assigned on August 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Carolina Gardens At West Colombia. The authorized official of this NPI record is Scott Brown (President)

NPI

1407222904

Provider NameCAROLINA GARDENS AT WEST COLOMBIA (FC MIDLANDS WEST COLUMBIA, LLC)
Provider Location Address2705 LEAPHART RD WEST COLUMBIA, SC 29169
Provider Mailing Address3500 LENOX ROAD SUITE 510 ATLANTA, GA 30326
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCAROLINA GARDENS AT WEST COLOMBIA
Other Name TypeDoing Business As (3)
Enumeration Date08-19-2015
Last Update Date11-20-2015


Primary Taxonomy

Taxonomy Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
Taxonomy DescriptionA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Business Address

CAROLINA GARDENS AT WEST COLOMBIA
2705 LEAPHART RD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 939-3000
Fax: (803) 739-2181

Get Directions


Mailing Address

CAROLINA GARDENS AT WEST COLOMBIA
3500 LENOX ROAD
SUITE 510
ATLANTA, GA
ZIP 30326
Phone: (770) 754-9660



Authorized Official

Authorized Official Name SCOTT BROWN
Authorized Official TitlePRESIDENT
Authorized Official Phone(770) 754-9660

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356438907MRS. ANGIE LYNN WINTERSTEIN PT
Individual
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1669549291MRS. ANN KENICK CARLSON PT
Individual
Physical Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1417024167MISS KELI LYNN MCHALE OTR
Individual
Occupational Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1558537381AGAPE THERAPY INC
Organization
Clinic/Center (Rehabilitation)2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1871730515MR. MICHAEL EDWARD GOLOB OTR/L
Individual
Occupational Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1225275969MRS. MELODY T MATTOX PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1003045303AGAPE ASSISTED LLIVING, INC.
Organization
Assisted Living Facility2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1497122766 ASHLEY FORD PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1447788211PRUITTHEALTH THERAPY SERVICES, INC.
Organization
Clinic/Center (Rehabilitation)2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1225081730AGAPE THERAPY, INC.
Organization
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 393-3000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.