MEDICARE: RISING ANGELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205344918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING ANGELS

Provider Business Mailing Address
First Line	:	125 LIONS CLUB RD APT 213
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-2137
Country	:	US
Telephone Number	:	864-436-3256
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 LIONS CLUB RD APT 213
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-2137
Country	:	US
Telephone Number	:	864-436-3256
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHERRELLE L FERGUSON
Credential	:
Telephone Number	:	864-436-3256

Provider Enumeration Date	:	01/16/2018
Last Update Date	:	01/16/2018

Similar Medicare Providers

1255850459 — MRS. CHERRELLE LAMIKA FERGUSON
Practice Location Address:

125 LIONS CLUB RD APT 213
GREENVILLE, SC
29617-2137

Practice Phone: 864-436-3256
Practice Fax:

1417911330 — DR. DEREK E HATHAWAY DMD
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax:

1326005463 — DR. PAUL E OSENKOWSKI D.D.S.
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax: 401-949-5494

1295867661 — TOWN OF SMITHFIELD
Practice Location Address:

607 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-233-1000
Practice Fax:

1063649549 — DISTINCTIVE DENTISTRY
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-1420
Practice Fax: 401-949-5494

1164809273 — JEAN RESNEVIC, DMD, LLC
Practice Location Address:

595 PUTNAM PIKE
GREENVILLE, RI
02828-2137

Practice Phone: 401-949-8160
Practice Fax: 401-949-8163

Directions to “RISING ANGELS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.