Angelic Home Care Services LLC

Organization Active NPI In Home Supportive Care Agency · Columbia, MS

NPI 1053911941 · NPPES record last updated Oct 29, 2020

Key facts

NPI
1053911941
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ANGELIC HOME CARE SERVICES LLC
Practice address
34 Jims Rd
Columbia, MS 39429-8265
Phone
(228) 297-4636
NPI assigned
Oct 29, 2020
Organization subpart
No

Authorized official

Name
Ratoya Walker
Title
Owner/Director
Phone
(228) 297-4636

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Angelic Home Care Services LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

34 Jims Rd
Columbia, MS 39429-8265

Mailing address

34 Jims Rd
Columbia, MS 39429-8265
Phone (228) 297-4636

Other providers in Columbia, MS

All providers in Columbia, MS · In Home Supportive Care Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.