NPIMap

Organization Active NPI

Heavens Angel Homecare Agency

  • In Home Supportive Care Agency
  • Travelers Rest, SC
National Provider Identifier
1104459031
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENS ANGEL HOMECARE AGENCY
Practice address
20 S Poinsett Hwy Ste C
Travelers Rest, SC 29690-1857
Phone
(864) 990-5202
Fax
(888) 820-3989
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonya CheeksNPI 1881180297
Title
Owner
Phone
(864) 990-5202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

20 S Poinsett Hwy Ste C
Travelers Rest, SC 29690-1857

Mailing address

109 Midwood Rd
Travelers RST, SC 29690-1865
Phone (864) 787-7492

National Provider Directory

National Provider Directory
Tax ID family
Heavens Angel Homecare Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

20 S Poinsett Hwy
Ste C
Travelers Rest, SC 29690
Phone (864) 434-6256

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1104459031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MIDWOOD RD",
            "city": "TRAVELERS RST",
            "state": "SC",
            "postal_code": "296901865",
            "telephone_number": "864-787-7492",
            "fax_number": "888-820-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S POINSETT HWY STE C",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901857",
            "telephone_number": "864-990-5202",
            "fax_number": "888-820-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS ANGEL HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-990-5202"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.