MEDICARE: BACKUP CARE ANGELS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639015878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACKUP CARE ANGELS LLC

Provider Business Mailing Address
First Line	:	1432 PARKWAY DR APT 8B
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-6238
Country	:	US
Telephone Number	:	407-913-6383
Fax Number	:

Provider Business Practice Location Address
First Line	:	1432 PARKWAY DR APT 8B
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-6238
Country	:	US
Telephone Number	:	407-913-6383
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIOSIE O DUTHIL
Credential	:
Telephone Number	:	407-913-6383

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “BACKUP CARE ANGELS LLC ” Practice Location

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