Healthcare Provider Details

I. General information

NPI: 1215115548
Provider Name (Legal Business Name): ABOUNDING ANGELS HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9153 TWO NOTCH RD STE C-7
COLUMBIA SC
29223-5852
US

IV. Provider business mailing address

PO BOX 23659
COLUMBIA SC
29224-3659
US

V. Phone/Fax

Practice location:
  • Phone: 803-223-9193
  • Fax: 866-580-3978
Mailing address:
  • Phone: 803-223-9178
  • Fax: 866-580-3978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TROY D BELTON
Title or Position: OWNER/MANAGER
Credential:
Phone: 803-223-9178