Organization Active NPI

Evangelin's Afch, LLC

Doing business as Evangelin Guino-o Comighod Afch

  • Adult Care Home Facility
  • Clearwater, FL
National Provider Identifier
1033553276
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
EVANGELIN'S AFCH, LLC
Doing business as
Evangelin Guino-o Comighod Afch
Practice address
1529 Clark St
Clearwater, FL 33755-3510
Phone
(727) 422-8793
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Miss Evangelin Guino-O Comighod
Title
Owner/President
Phone
(727) 422-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1529 Clark St
Clearwater, FL 33755-3510

Mailing address

1529 Clark St
Clearwater, FL 33755-3510
Phone (727) 422-8793

Other identifiers 1

IdentifierTypeStateIssuer
10000128200MedicaidFL

Other names 1

  • Evangelin Guino-o Comighod Afch Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1033553276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 CLARK ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337553510",
            "telephone_number": "727-422-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 CLARK ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337553510",
            "telephone_number": "727-422-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELIN'S AFCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "COMIGHOD",
        "authorized_official_first_name": "EVANGELIN",
        "authorized_official_middle_name": "GUINO-O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-422-8793",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000128200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evangelin Guino-o Comighod Afch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.