Provider Demographics
NPI:1295389864
Name:ANGELIC HELPERS
Entity Type:Organization
Organization Name:ANGELIC HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARCELLA
Authorized Official - Last Name:ALSTON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-543-9019
Mailing Address - Street 1:4711 FOREST DR STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3125
Mailing Address - Country:US
Mailing Address - Phone:803-447-1065
Mailing Address - Fax:888-420-0403
Practice Address - Street 1:3905 W BELTLINE BLVD STE 3002
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1503
Practice Address - Country:US
Practice Address - Phone:803-447-1065
Practice Address - Fax:888-420-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty