Provider Demographics
NPI:1447810213
Name:ANGELS CARE PRIVATE DUTY SERVICES LLC
Entity type:Organization
Organization Name:ANGELS CARE PRIVATE DUTY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:EYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-205-8536
Mailing Address - Street 1:4801 GEORGE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6200
Mailing Address - Country:US
Mailing Address - Phone:813-886-2023
Mailing Address - Fax:813-886-2096
Practice Address - Street 1:5750 HONORE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3249
Practice Address - Country:US
Practice Address - Phone:877-480-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health