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General NPI Number Information
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NPI Number | 1063866218
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Entity Type | Organization
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Legal Business Name | ATTENTIVE ANGELS HOME CARE
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1710 SUNSET BLVD STE B
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5956
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Country | US
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Telephone | 803-888-7857
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 SUNSET BLVD STE B
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ASHLEY ROYSTER
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Credential |
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Telephone | 804-323-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 225560
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 225560
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License Number State | SC
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