GUARDIAN ANGELS OF THE UPSTATE (NPI# 1679924195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679924195 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGELS OF THE UPSTATE |
| Practice Address |
117 Fairview Pointe Dr Simpsonville SC 29681 |
| Mailing Address |
117 Fairview Pointe Dr Simpsonville SC 29681-3223 |
| Practice Telephone | 4042427633 |
| Mailing Telephone | 4042427633 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | JIMETTA LITTLEJOHN (OWNER) |
| Authorized Official Telephone | 4042427633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 302F00000X | Exclusive Provider Organization | Managed Care Organizations | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
117 FAIRVIEW POINTE DR |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497283238 | Excellence Home Care LLC | In Home Supportive Care | 117 Fairview Pointe Dr, Simpsonville, SC 29681-3223 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| 1215363437 | Healthstat On-site Clinic/milliken Hillcrest | Preventive Medicine | 2805 Kemet Way, Simpsonville, SC 29681 | 2013-09-19 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690415 | Golabsintl | Point of Service | 238 Hawkins Creek Rd, Blythewood, SC 29016-7230 | 2020-08-23 |
| 1396362414 | Gentle Sticks Mobile Phlebotomy, LLC | Point of Service | 1707 Clemmon Sanders Cir, Rock Hill, SC 29732-7647 | 2020-07-06 |
| 1912444712 | A-peel Salon and Spa LLC | Point of Service | 9003 Two Notch Rd, Suite 5, Columbia, SC 29223-5800 | 2017-01-31 |
| 1619425261 | Blessedtouch Theraputic Massage & Nutrition | Point of Service | 605 S Dargan St, Florence, SC 29506-2544 | 2016-09-13 |
| 1245684521 | Pds Home Health Care and Management | Point of Service | 109 Childrens Lane, St. Stephens, SC 29479-0109 | 2016-04-22 |
| 1679937361 | Companion Management, LLC | Point of Service | 29 Gamecock Ave Ste 101, Charleston, SC 29407-3366 | 2016-04-08 |
| 1568825404 | Eric Henry Hays | Point of Service | 243 Pinecroft Dr, Taylors, SC 29687-2216 | 2016-03-29 |
| 1386030351 | Victory Dentistry for Kids | Point of Service | 9787 Charlotte Hwy Ste 203, Indian Land, SC 29707-5511 | 2015-04-07 |
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1063824217 | Abundant Care Case Management LLC | Point of Service | 153 Forestview Cir, Columbia, SC 29212-2450 | 2014-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.