MEDICARE: ATTENTIVE ANGELS HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	225560	SC
2	253Z00000X	In Home Supportive Care Agency	225560	SC

General Provider Information

NPI Number	:	1063866218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE ANGELS HOME CARE

Provider Business Mailing Address
First Line	:	1710 SUNSET BLVD STE B
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-5956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 SUNSET BLVD STE B
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-5956
Country	:	US
Telephone Number	:	803-888-7857
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ASHLEY ROYSTER
Credential	:
Telephone Number	:	804-323-9464

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	12/09/2025

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