Healthcare Provider Details

I. General information

NPI: 1508843319
Provider Name (Legal Business Name): ASSISTING ANGELS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2378 THOMPSON TOWN RD.
WHITEVILLE NC
28472-5500
US

IV. Provider business mailing address

2378 THOMPSON TOWN RD.
WHITEVILLE NC
28472-5500
US

V. Phone/Fax

Practice location:
  • Phone: 910-918-3873
  • Fax: 910-640-3510
Mailing address:
  • Phone: 910-918-3873
  • Fax: 910-640-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2192
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHC2192
License Number StateNC

VIII. Authorized Official

Name: MRS. HOLLY BOSWELL HARDIE
Title or Position: PRESIDENT
Credential: OWNER, PRESIDENT
Phone: 910-918-3873