MEDICARE: ANGELS AROUND YOU HOME CARE 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	:	1659093516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS AROUND YOU HOME CARE LLC

Provider Business Mailing Address
First Line	:	851 N DONNELLY ST STE 1
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-4835
Country	:	US
Telephone Number	:	239-440-2091
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 N DONNELLY ST STE 1
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-4835
Country	:	US
Telephone Number	:	239-440-2091
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANAND MAHADEVAN
Credential	:	MD
Telephone Number	:	239-440-2091

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	09/16/2022

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