Healthcare Provider Details

I. General information

NPI: 1558274233
Provider Name (Legal Business Name): EARTHLY ANGELS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY STE 113
STUART FL
34994-1019
US

IV. Provider business mailing address

850 NW FEDERAL HWY STE 113
STUART FL
34994-1019
US

V. Phone/Fax

Practice location:
  • Phone: 239-383-3013
  • Fax: 239-383-3013
Mailing address:
  • Phone: 239-383-3013
  • Fax: 239-383-3013

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: FIDEL NAVARROZA
Title or Position: ACCOUNTANT
Credential:
Phone: 813-585-8470