Healthcare Provider Details

I. General information

NPI: 1487513446
Provider Name (Legal Business Name): ANGILEKS HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MAXWELL AVE STE 316
GREENWOOD SC
29646-2641
US

IV. Provider business mailing address

104 MAXWELL AVE STE 316
GREENWOOD SC
29646-2641
US

V. Phone/Fax

Practice location:
  • Phone: 864-407-4952
  • Fax:
Mailing address:
  • Phone: 864-407-4952
  • Fax: 864-854-9582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LACY WILLIAMS
Title or Position: OWNER
Credential:
Phone: 864-407-4952