Organization
NUANGELS HOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATARSHA CRUMPLER (CEO)
(919) 672-5592
Entity
Organization
Contact information
Practice address
9708 N KINGS HWY STE 11, MYRTLE BEACH, SC 29572-4008
(843) 663-0864
(843) 300-1018
Mailing address
9708 N KINGS HWY STE 11, MYRTLE BEACH, SC 29572-4008
(843) 663-0864
(919) 869-1671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245656578
—
NC
05
—
1679326029
—
SC
Enumeration date
04/08/2024
Last updated
09/10/2025
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