MEDICARE: BM TARGETED COMMUNITY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1750240156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BM TARGETED COMMUNITY CARE LLC

Provider Business Mailing Address
First Line	:	537 CLEMSON RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-4307
Country	:	US
Telephone Number	:	843-718-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	537 CLEMSON RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29229-4307
Country	:	US
Telephone Number	:	843-718-5163
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CRAIG MILLER
Credential	:
Telephone Number	:	843-718-5163

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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