Provider Demographics
NPI:1508843319
Name:ASSISTING ANGELS, INC.
Entity Type:Organization
Organization Name:ASSISTING ANGELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:BOSWELL
Authorized Official - Last Name:HARDIE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER, PRESIDENT
Authorized Official - Phone:910-918-3873
Mailing Address - Street 1:2378 THOMPSON TOWN RD.
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-5500
Mailing Address - Country:US
Mailing Address - Phone:910-918-3873
Mailing Address - Fax:910-640-3510
Practice Address - Street 1:2378 THOMPSON TOWN RD.
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-5500
Practice Address - Country:US
Practice Address - Phone:910-918-3873
Practice Address - Fax:910-640-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2192251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600849Medicaid