Healthcare Provider Details

I. General information

NPI: 1114868197
Provider Name (Legal Business Name): PREMIER ANGELS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BUSCH DR UNIT 26121
JACKSONVILLE FL
32218-5547
US

IV. Provider business mailing address

150 BUSCH DR UNIT 26121
JACKSONVILLE FL
32218-5547
US

V. Phone/Fax

Practice location:
  • Phone: 904-864-4169
  • Fax:
Mailing address:
  • Phone: 904-864-4169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMARA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 904-864-4169