Angelic in-Home Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC IN-HOME CARE, LLC.

Practice address

319 Rhodes Community Rd
Darlington, SC 29540-8160

Phone

(843) 339-0040

NPI assigned

Sep 12, 2021

Last updated

Sep 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collette Johnson

Title

Owner

Phone

(843) 339-0040

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1699444646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295401093",
            "telephone_number": "843-339-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 RHODES COMMUNITY RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295408160",
            "telephone_number": "843-339-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC IN-HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-339-0040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "319 Rhodes Community Rd",
            "city": "Darlington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295408160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.