Healthcare Provider Details

I. General information

NPI: 1003202029
Provider Name (Legal Business Name): A TRIANGLE CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7708 RIFFLE LN
ORLANDO FL
32818-1200
US

IV. Provider business mailing address

7708 RIFFLE LN
ORLANDO FL
32818-1200
US

V. Phone/Fax

Practice location:
  • Phone: 407-202-6418
  • Fax: 954-212-0227
Mailing address:
  • Phone: 407-202-6418
  • Fax: 954-212-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: EVA AUGUSTINE
Title or Position: CEO
Credential:
Phone: 407-202-6418