MEDICARE: ANGEL-PALMS HOME HEALTH CARE

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	:	1730653858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL-PALMS HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	5429 POINTE VISTA CIR APT 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-8422
Country	:	US
Telephone Number	:	407-484-0952
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 SW 34TH ST STE 1
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-6450
Country	:	US
Telephone Number	:	407-300-9955
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. COLLINS AFANWI
Credential	:	COO
Telephone Number	:	904-865-7777

Provider Enumeration Date	:	01/11/2019
Last Update Date	:	03/06/2023

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