MEDICARE: HANDS OF ANGELS OF FLORIDA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1043177579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF ANGELS OF FLORIDA, LLC

Provider Business Mailing Address
First Line	:	4847 GROVEMONT PL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4931
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 GROVEMONT PL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4931
Country	:	US
Telephone Number	:	352-647-4718
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	MS. ANTONIA LECHELLE BURCH
Credential	:	CNA
Telephone Number	:	352-647-4718

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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