Heavens Angel Homecare Agency

LBN: Heavens Angel Homecare Agency
Heavens Angel Homecare Agency is an health care organization with primary practice located at 20 S Poinsett Hwy Ste I , Travelers Rst SC 29690-1857. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Customized Equipment is the primary health care specialty. Heavens Angel Homecare Agency can be contacted via phone (864) 787-7492, or through Cheeks, Tonya via phone (864) 787-7492.

Contact Information

Primary practice address
20 S Poinsett Hwy Ste I Travelers Rst SC 29690-1857
Phone: (864) 787-7492
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cheeks, Tonya
Phone: (864) 787-7492

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1811531015
LBN Legal business name Heavens Angel Homecare Agency
DBA Doing business as
Authorized official Cheeks, Tonya
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811531015 NPPES
South Carolina MEDICAID EX1721

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