Healthcare Provider Details

I. General information

NPI: 1245087634
Provider Name (Legal Business Name): OUR ANGELS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 MASALA DR APT A
ORLANDO FL
32818-7467
US

IV. Provider business mailing address

709 MASALA DR APT A
ORLANDO FL
32818-7467
US

V. Phone/Fax

Practice location:
  • Phone: 407-630-4727
  • Fax:
Mailing address:
  • Phone: 407-630-4727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HOLINDINE ST FLEUR
Title or Position: CEO
Credential:
Phone: 407-630-4727