MEDICARE: ANGEL'S CARE SEVICES US 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174482988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S CARE SEVICES US LLC

Provider Business Mailing Address
First Line	:	1633 DITTMER CIR SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-1317
Country	:	US
Telephone Number	:	954-508-8559
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 DITTMER CIR SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-1317
Country	:	US
Telephone Number	:	954-508-8559
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	CARRINE CHASSAGNE
Credential	:
Telephone Number	:	954-508-8559

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “ANGEL'S CARE SEVICES US LLC ” Practice Location

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