MEDICARE: ANGELLA TAYLOR HHA

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	374U00000X	Home Health Aide	HC3792	FL

General Provider Information

NPI Number	:	1407641657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELLA TAYLOR HHA

Provider Business Mailing Address
First Line	:	4522 BROOK DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-8205
Country	:	US
Telephone Number	:	863-236-4822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4522 BROOK DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-8205
Country	:	US
Telephone Number	:	863-236-4822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/10/2025

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