Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Domonique W Bass

Individual provider Child Intellectual and/or Developmental Disabilities Respite Care · NPI 1437942380

MS. Domonique W Bass is a Child Intellectual and/or Developmental Disabilities Respite Care in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5

Practice location Address checks out

1101 First Street South Ext Ste D
Columbia, SC 29209-3559
Phone: (803) 446-3209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Community/Behavioral Health Agency Taxonomy 251S00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1437942380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

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