=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992565220
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARRIS NOURISHING ANGELS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2024
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2314 30TH ST S
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33712-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-642-6922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2314 30TH ST S
-----------------------------------------------------
City | SAINT PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33712-3340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-642-6922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR
-----------------------------------------------------
Name | MRS. CHERIE NICOLE DONALD
-----------------------------------------------------
Credential | LPN
-----------------------------------------------------
Telephone | 727-642-6922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 372600000X
-----------------------------------------------------
Taxonomy Name | Adult Companion
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------