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Contact Information

ANGELS OF LIGHT HEALTHCARE LLC
2704 NATURE VIEW RD
SAINT CLOUD, FL34771-9330
 Phone: 407-416-5457
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Community/Behavioral Health

251S00000X
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for ANGELS OF LIGHT HEALTHCARE LLC

NPI # 1144951708
LBN Legal business name ANGELS OF LIGHT HEALTHCARE LLC
Authorized official KATHERINE RODRIGUEZ - (MANAGER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2022
Last updated 06/23/2022 - About 4 years ago
Identifiers
FL Medicaid 689577896
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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