Healthcare Provider Details

I. General information

NPI: 1639015878
Provider Name (Legal Business Name): BACKUP CARE ANGELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 PARKWAY DR APT 8B
MELBOURNE FL
32935-6238
US

IV. Provider business mailing address

1432 PARKWAY DR APT 8B
MELBOURNE FL
32935-6238
US

V. Phone/Fax

Practice location:
  • Phone: 407-913-6383
  • Fax:
Mailing address:
  • Phone: 407-913-6383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DIOSIE O DUTHIL
Title or Position: OWNER
Credential:
Phone: 407-913-6383