Provider Demographics
NPI:1356893614
Name:SITTING WITH AN ANGEL
Entity type:Organization
Organization Name:SITTING WITH AN ANGEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRENA
Authorized Official - Middle Name:MICSHELL
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:803-730-1368
Mailing Address - Street 1:1307 KINDERWAY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5895
Mailing Address - Country:US
Mailing Address - Phone:803-730-1368
Mailing Address - Fax:
Practice Address - Street 1:1307 KINDERWAY AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5895
Practice Address - Country:US
Practice Address - Phone:803-730-1368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health