Provider Demographics
NPI:1720411812
Name:ANGEL CARE HOME CARE
Entity Type:Organization
Organization Name:ANGEL CARE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-944-1980
Mailing Address - Street 1:2012 EVANS CIR
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2232
Mailing Address - Country:US
Mailing Address - Phone:803-944-1980
Mailing Address - Fax:
Practice Address - Street 1:2012 EVANS CIR
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2232
Practice Address - Country:US
Practice Address - Phone:803-944-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care