Healthcare Provider Details

I. General information

NPI: 1275009649
Provider Name (Legal Business Name): ANGEL BLESS CARE SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3170 N FEDERAL HWY STE 103G
LIGHTHOUSE POINT FL
33064-6719
US

IV. Provider business mailing address

3170 N FEDERAL HWY STE 103G
LIGHTHOUSE POINT FL
33064-6719
US

V. Phone/Fax

Practice location:
  • Phone: 954-299-7472
  • Fax: 954-388-7252
Mailing address:
  • Phone: 954-299-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELYNE CEZAIRE
Title or Position: OWNER
Credential:
Phone: 954-479-6448