=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659646420
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING ANGELS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2012
-----------------------------------------------------
Last Update Date | 11/08/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1707 ORLANDO CENTRAL PKWY STE 450
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-888-5999
-----------------------------------------------------
Fax | 407-888-5798
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1707 ORLANDO CENTRAL PKWY STE 450
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-888-5999
-----------------------------------------------------
Fax | 407-888-5798
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. GARY JAMES COCHRAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-888-5999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | 30211299
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------