MEDICARE: EARTHLY ANGELS PERSONAL CARE SERVICE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073445961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARTHLY ANGELS PERSONAL CARE SERVICE LLC

Provider Business Mailing Address
First Line	:	14326 FIREFLY LN
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-0058
Country	:	US
Telephone Number	:	601-616-4817
Fax Number	:

Provider Business Practice Location Address
First Line	:	14326 FIREFLY LN
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-0058
Country	:	US
Telephone Number	:	601-616-4817
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLIKIS RUFFIN CHARLIKIS
Credential	:
Telephone Number	:	601-616-4817

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/03/2026

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