Nursing Care by Angels

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12241 Issued in FL

Legal business name

NURSING CARE BY ANGELS

Practice address

8085 Babcock St SE
Palm Bay, FL 32909-5910

Phone

(321) 345-4774

Fax

(321) 914-0712

NPI assigned

Oct 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Coralie Prince, RN

Title

Administrator

Phone

(321) 299-7687

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1033462197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 BABCOCK ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095910",
            "telephone_number": "321-345-4774",
            "fax_number": "321-914-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 BABCOCK ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329095910",
            "telephone_number": "321-345-4774",
            "fax_number": "321-914-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING CARE BY ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "CORALIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-299-7687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142640100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.