Organization Active NPI

Michaelas Angelic Caregivers LLC

  • Nurse's Aide
  • Columbia, SC
National Provider Identifier
1780238394
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
MICHAELAS ANGELIC CAREGIVERS LLC
Practice address
455 St Andrews Rd BLDG D
Suite 3a
Columbia, SC 29210-4486
Phone
(803) 497-3120
Fax
(803) 497-3120
NPI assigned
Jul 31, 2019
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Mrs. Tashara Heyward
Title
Executive Director
Phone
(803) 497-3120

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

455 St Andrews Rd BLDG D
Suite 3a
Columbia, SC 29210-4486

Mailing address

455 St Andrews Rd BLDG D
Suite 3a
Columbia, SC 29210-4486
Phone (803) 497-3120

National Provider Directory

National Provider Directory

Locations

455 Saint Andrews Rd
Ste A3
Columbia, SC 29210
Phone (803) 497-3120

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1780238394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ST ANDREWS RD BLDG D",
            "address_2": "SUITE 3A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104486",
            "telephone_number": "803-497-3120",
            "fax_number": "803-497-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ST ANDREWS RD BLDG D",
            "address_2": "SUITE 3A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104486",
            "telephone_number": "803-497-3120",
            "fax_number": "803-497-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELAS ANGELIC CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "TASHARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-497-3120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.