MEDICARE: ANGEL WINGS FAMILY SERVICES OF HAMPTON LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1528625472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL WINGS FAMILY SERVICES OF HAMPTON LLC

Provider Business Mailing Address
First Line	:	110 COLISEUM XING
Second Line	:	PMB 262
City	:	HAMPTON
State	:	VA
Zip	:	23666-0001
Country	:	US
Telephone Number	:	757-785-5439
Fax Number	:	757-826-1515

Provider Business Practice Location Address
First Line	:	22 LEWIS DRIVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606
Country	:	US
Telephone Number	:	757-785-5439
Fax Number	:	757-826-1515

Authorized Official
Title or Position	:	PRESIDENT/CLINICAL DIRECTOR
Name	:	CYRUS CORNELL BOYD
Credential	:
Telephone Number	:	757-785-5439

Provider Enumeration Date	:	05/28/2019
Last Update Date	:	02/12/2026

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