CAROLINA GARDENS AT WEST COLOMBIA (FC MIDLANDS WEST COLUMBIA, LLC) NPI 1407222904
Assisted Living Facility in West Columbia, SC
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 Name | CAROLINA GARDENS AT WEST COLOMBIA (FC MIDLANDS WEST COLUMBIA, LLC) |
| Provider Location Address | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 |
| Provider Mailing Address | 3500 LENOX ROAD SUITE 510 ATLANTA, GA 30326 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | CAROLINA GARDENS AT WEST COLOMBIA |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 08-19-2015 |
| Last Update Date | 11-20-2015 |
Primary Taxonomy
| Taxonomy Code | 310400000X |
| Classification | Assisted Living Facility |
| Type | Nursing & Custodial Care Facilities |
| Taxonomy Description | A 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
Mailing Address
CAROLINA GARDENS AT WEST COLOMBIA
3500 LENOX ROAD
SUITE 510
ATLANTA, GA
ZIP 30326
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 |
|---|---|---|---|
| 1356438907 | MRS. ANGIE LYNN WINTERSTEIN PT Individual | Physical Therapist | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1669549291 | MRS. ANN KENICK CARLSON PT Individual | Physical Therapist | 2705 LEAPHART RD AGAPE THERAPY WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1417024167 | MISS KELI LYNN MCHALE OTR Individual | Occupational Therapist | 2705 LEAPHART RD AGAPE THERAPY WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1558537381 | AGAPE THERAPY INC Organization | Clinic/Center (Rehabilitation) | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1871730515 | MR. MICHAEL EDWARD GOLOB OTR/L Individual | Occupational Therapist | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1225275969 | MRS. MELODY T MATTOX PTA Individual | Physical Therapy Assistant | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 926-5119 |
| 1003045303 | AGAPE ASSISTED LLIVING, INC. Organization | Assisted Living Facility | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 939-3000 |
| 1497122766 | ASHLEY FORD PTA Individual | Physical Therapy Assistant | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 939-3000 |
| 1447788211 | PRUITTHEALTH THERAPY SERVICES, INC. Organization | Clinic/Center (Rehabilitation) | 2705 LEAPHART RD WEST COLUMBIA, SC 29169 (803) 939-3000 |
| 1225081730 | AGAPE THERAPY, INC. Organization | Physical Therapist | 2705 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.