ANGELIC HEALTH PRACTICE GROUP NPI 1891448064

NPI Information

NPI: 1891448064
Provider Name: ANGELIC HEALTH PRACTICE GROUP

Doing Business As: ANGELIC PALLIATIVE CARE OF SC

Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

Address:
923C MEDICAL CIRCLE
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 356-9078
Get Directions

ANGELIC HEALTH PRACTICE GROUP is a community health nurse practitioner in Myrtle Beach, SC. ANGELIC HEALTH PRACTICE GROUP NPI is 1891448064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Angelic Palliative Care Of Sc.

The provider's business location address is:

923C MEDICAL CIRCLE
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 356-9078
Fax: (843) 356-4086

The provider's authorized official is Dan Mikus .
The authorized official title is Ceo and has the following contact phone number (609) 822-7979.

The CLIA number assigned to this NPI record is 42D2257229 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2022 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	363LC1500X	Nurse Practitioner	Community Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »