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NPI Code Detail

MEDICARE: A SPECIAL ANGELS TOUCH, INC.

MEDICARE: A SPECIAL ANGELS TOUCH, INC.
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
1251E00000XHome Health Agency
2106E00000XAssistant Behavior Analyst
3253Z00000XIn Home Supportive Care Agency
4376J00000XHomemaker
5171W00000XContractor
6103K00000XBehavior Analyst

Other Identifiers

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

General Provider Information

NPI Number : 1730564527
Entity Type Code : Organization
Provider Name (Legal Business Name) : A SPECIAL ANGELS TOUCH, INC.
Provider Business Mailing Address
First Line : 14335 SW 120TH ST STE 105
Second Line :
City : MIAMI
State : FL
Zip : 33186-7295
Country : US
Telephone Number : 305-554-4111
Fax Number : 786-165-8691
Provider Business Practice Location Address
First Line : 14335 SW 120TH ST STE 105
Second Line :
City : MIAMI
State : FL
Zip : 33186-7295
Country : US
Telephone Number : 305-554-4111
Fax Number : 786-165-8691
Authorized Official
Title or Position : ADMINISTRATOR
Name : CARLOS GERENA
Credential :
Telephone Number : 305-554-4111
Provider Enumeration Date : 07/22/2015
Last Update Date : 11/20/2025

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Directions to “A SPECIAL ANGELS TOUCH, INC. ” Practice Location

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