MIRANDA WILLIS ADULT DAY CARE, LLC – NPI #1902215296
Clinic/Center

MIRANDA WILLIS ADULT DAY CARE, LLC is an AHC clinic located in COLUMBIA, SC. NPPES has assigned the NPI number 1902215296 to MIRANDA WILLIS ADULT DAY CARE, LLC on August 12, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 12 years ago on Aug 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIRANDA WILLIS ADULT DAY CARE, LLC below.

NPI Profile for
MIRANDA WILLIS ADULT DAY CARE, LLC

NPI Number
1902215296
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRANDA WILLIS ADULT DAY CARE, LLC
Primary location
5932 MCMILLIAN CIRCLE
COLUMBIA, SC 29212
Phone: (803) 586-7455 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CRYSTAL WILLIS
CEO
Phone: (803) 586-7455
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
104100000X
- Social Worker		 SC 10532

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.