MEDICARE: ANGELS SERVICES, CORP.

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053559088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS SERVICES, CORP.

Provider Business Mailing Address
First Line	:	14601 SW 29TH ST STE 112
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	954-634-3636
Fax Number	:	954-634-3637

Provider Business Practice Location Address
First Line	:	14601 SW 29TH ST STE 112
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	954-634-3636
Fax Number	:	954-634-3637

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BRENO CARDOSO
Credential	:
Telephone Number	:	954-634-3636

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	09/07/2021

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Directions to “ANGELS SERVICES, CORP. ” Practice Location

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