Organization Active NPI

Visit by an Angel LLC

Doing business as Visit by an Angel Home Care

  • In Home Supportive Care Agency
  • Goose Creek, SC
National Provider Identifier
1629625579
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VISIT BY AN ANGEL LLC
Doing business as
Visit by an Angel Home Care
Practice address
124 Saint James Ave Unit A1
Goose Creek, SC 29445-2972
Phone
(843) 584-3916
NPI assigned
Aug 23, 2019
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Shani George
Title
Administrator
Phone
(843) 584-3916

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X NU
Respite Care 385H00000X NU
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
In Home Supportive Care Agency 253Z00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

124 Saint James Ave Unit A1
Goose Creek, SC 29445-2972

Mailing address

124 Saint James Ave Unit A1
Goose Creek, SC 29445-2972
Phone (843) 584-3916

Other names 1

  • Visit by an Angel Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

124 Saint James Ave
Unit A1
Goose Creek, SC 29445
Phone (843) 584-3916

8421 Dorchester Rd
Ste 109318
North Charleston, SC 29420

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1629625579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAINT JAMES AVE UNIT A1",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452972",
            "telephone_number": "843-584-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAINT JAMES AVE UNIT A1",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452972",
            "telephone_number": "843-584-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIT BY AN ANGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-584-3916"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visit by an Angel Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.