Healthcare Provider Details

I. General information

NPI: 1316897564
Provider Name (Legal Business Name): ANGELS CHARIOT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 02/01/2026
Certification Date: 02/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W PALMETTO ST STE 4
FLORENCE SC
29501-4418
US

IV. Provider business mailing address

376 W PALMETTO ST STE 4
FLORENCE SC
29501-4418
US

V. Phone/Fax

Practice location:
  • Phone: 843-702-0100
  • Fax:
Mailing address:
  • Phone: 843-618-4629
  • Fax:

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TYTIANNAI VICKERS
Title or Position: OWNER
Credential:
Phone: 843-618-4629