MEDICARE: CARE BY DEE'S ANGELS HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093560658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE BY DEE'S ANGELS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	5257 NW 109TH LN
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2755
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 W OAKLAND PARK BLVD UNIT G103
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1423
Country	:	US
Telephone Number	:	954-249-3013
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DIEUDONNE LEMY
Credential	:
Telephone Number	:	954-249-3013

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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