Healthcare Provider Details

I. General information

NPI: 1508797788
Provider Name (Legal Business Name): ANGELS PARADISE COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 SW 3RD ST STE 1
HAVANA FL
32333-2204
US

IV. Provider business mailing address

923 SW 3RD ST STE 1
HAVANA FL
32333-2204
US

V. Phone/Fax

Practice location:
  • Phone: 850-509-6833
  • Fax: 850-509-6833
Mailing address:
  • Phone: 850-509-6833
  • Fax: 850-509-6833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SARAH F LARKINS
Title or Position: OWNER
Credential:
Phone: 850-509-6833