=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326908948
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANGELS SENT SENIOR CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2025
-----------------------------------------------------
Last Update Date | 11/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5901 NW 183RD ST STE 339
-----------------------------------------------------
City | MIAMI GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-6028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-974-5900
-----------------------------------------------------
Fax | 305-816-6469
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5901 NW 183RD ST STE 339
-----------------------------------------------------
City | MIAMI GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-6028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-974-5900
-----------------------------------------------------
Fax | 305-816-6469
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SUSAN S SIMMONDS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-974-5900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747A0650X
-----------------------------------------------------
Taxonomy Name | Attendant Care Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------