Provider Demographics
NPI:1639043656
Name:MONALISAS GODSENT ANGELS
Entity type:Organization
Organization Name:MONALISAS GODSENT ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:KAYTRINA
Authorized Official - Last Name:RECKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:941-929-4883
Mailing Address - Street 1:1227 CITIZENS PKWY APT 201
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-3728
Mailing Address - Country:US
Mailing Address - Phone:941-929-4883
Mailing Address - Fax:
Practice Address - Street 1:1227 CITIZENS PKWY APT 201
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-3728
Practice Address - Country:US
Practice Address - Phone:941-929-4883
Practice Address - Fax:941-929-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)