MEDICARE: ANGELS OF JESUS

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1942772520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS OF JESUS

Provider Business Mailing Address
First Line	:	1404 N OBSERVATORY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5916
Country	:	US
Telephone Number	:	407-219-1740
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 N OBSERVATORY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5916
Country	:	US
Telephone Number	:	407-219-1740
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIE ANGE AUGUSTIN
Credential	:
Telephone Number	:	407-219-1740

Provider Enumeration Date	:	12/20/2018
Last Update Date	:	12/20/2018

Similar Medicare Providers

1841439049 — DR. AMANDA JEANNE FREY D.C.
Practice Location Address:

6388 SILVER STAR RD , SUITE 2A
ORLANDO, FL
32818-3235

Practice Phone: 407-253-1114
Practice Fax: 407-253-1180

1326034349 — CLINTON R ANDERSON O.D.
Practice Location Address:

2830 N HIAWASSEE RD
ORLANDO, FL
32818-3319

Practice Phone: 407-296-2020
Practice Fax:

1922099308 — SONALI SANJEEV KUMAR MD
Practice Location Address:

7649 W COLONIAL DR STE 115
ORLANDO, FL
32818-7423

Practice Phone: 407-522-2080
Practice Fax: 833-963-0115

1790766756 — VIJAYALAKSHMI POLAVARAPU M.D.
Practice Location Address:

6350 W COLONIAL DR
ORLANDO, FL
32818-7823

Practice Phone: 407-281-1755
Practice Fax: 407-282-6871

1063494631 — DR. DARIUSZ GRZEGORZ MYDLARZ M.D.
Practice Location Address:

6336 W COLONIAL DR
ORLANDO, FL
32818-7812

Practice Phone: 407-219-5200
Practice Fax: 321-281-8700

1376529784 — RITU BADOLA M.D.
Practice Location Address:

7649 W COLONIAL DR STE 115
ORLANDO, FL
32818-7423

Practice Phone: 407-522-2080
Practice Fax: 833-963-0115

Directions to “ANGELS OF JESUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.