Bass, Domonique W

Bass, Domonique W is an sole proprietor health care provider with primary practice located at 1101 First Street South Ext Ste D , Columbia SC 29209-3559. She recently has 5 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Health Service. Agencies / Home Health is her primary health care specialty. Bass, Domonique W can be contacted via phone (803) 446-3209.

Contact Information

Primary practice address
1101 First Street South Ext Ste D Columbia SC 29209-3559
Phone: (803) 446-3209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1437942380
LBN Legal business name Bass, Domonique W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2025
Last updated May 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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