National Provider Identifier Database

HEAVENS ANGEL HOMECARE AGENCY
Customized Equipment


Contact Information

HEAVENS ANGEL HOMECARE AGENCY
20 S POINSETT HWY STE I
TRAVELERS REST, SC29690-1857
Phone: 864-787-7492
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Parenteral & Enteral Nutrition 332BP3500X

* Indicates primary specialty

NPI Profile & details for HEAVENS ANGEL HOMECARE AGENCY

NPI Number 1811531015
Legal business name
LBN
HEAVENS ANGEL HOMECARE AGENCY
Authorized official TONYA CHEEKS - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 10/30/2019
Last updated 10/30/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: EX1721

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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