1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Nurse Practitioner
  6. NPI Profile

ANGELIC PALLIATIVE CARE OF SC
NPI 1891448064
Nurse Practitioner - Community Health in Myrtle Beach, SC

Active since January 28, 2022
923C MEDICAL CIRCLE, MYRTLE BEACH, SC 29572(843) 356-9078(843) 356-4086 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2022, Jan 28, 2022 (2 updates tracked since 2022).

About Angelic Palliative Care Of Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIC PALLIATIVE CARE OF SC (NPI 1891448064) is a healthcare organization registered as a community health in Myrtle Beach, South Carolina and active in the NPI registry since January 2022. The organization lists Dan Mikus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891448064
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameANGELIC HEALTH PRACTICE GROUP
Location Address923C MEDICAL CIRCLEMyrtle Beach, SC 29572
Mailing Address8025 Black Horse Pike Ste 501Pleasantville, NJ 08232-2967 · (609) 822-7979
Phone(843) 356-9078
Fax(843) 356-4086
Organization SubpartNo
Authorized OfficialDan MikusCeo · (609) 822-7979
Enumeration DateJanuary 28, 2022
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1891448064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
923C MEDICAL CIRCLE, Myrtle Beach, SC 29572
Open in Google Maps ↗

Other Names 1

Doing Business AsAngelic Palliative Care Of Sc

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Frequently Asked Questions

What is ANGELIC HEALTH PRACTICE GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1891448064, enumerated as an "organization" on January 28, 2022.

Where is the provider located?

The provider is located at 923C MEDICAL CIRCLE MYRTLE BEACH, SC 29572 and the phone number is (843) 356-9078.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LC1500X and a focus in Community Health.

What insurance does ANGELIC HEALTH PRACTICE GROUP accept?

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.