MEDICARE: ANGELIC HELPERS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	374U00000X	Home Health Aide
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295389864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELIC HELPERS

Provider Business Mailing Address
First Line	:	4711 FOREST DR STE 3
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3125
Country	:	US
Telephone Number	:	803-447-1065
Fax Number	:	888-420-0403

Provider Business Practice Location Address
First Line	:	3905 W BELTLINE BLVD STE 3002
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-1503
Country	:	US
Telephone Number	:	803-447-1065
Fax Number	:	888-420-0403

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STEPHANIE MARCELLA ALSTON-SMITH
Credential	:
Telephone Number	:	803-543-9019

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	10/05/2022

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Directions to “ANGELIC HELPERS ” Practice Location

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