Healthcare Provider Details

I. General information

NPI: 1821900499
Provider Name (Legal Business Name): SENIOR ANGEL COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 WARM SPRINGS RD STE B
COLUMBUS GA
31909-6951
US

IV. Provider business mailing address

2986 WATERHILL DR
MIDLAND GA
31820-3491
US

V. Phone/Fax

Practice location:
  • Phone: 706-573-8591
  • Fax:
Mailing address:
  • Phone: 706-593-8825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: THERESA HARRIS
Title or Position: CEO
Credential: CNA
Phone: 706-593-8825