Angel'S Legacy, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ANGEL'S LEGACY, LLC

Practice address

777 N Orange Ave Apt 716
Orlando, FL 32801-1188

Phone

(407) 310-1707

Fax

(877) 538-5599

NPI assigned

Jan 10, 2020

Organization subpart

Yes

Parent organization

ANGEL'S LEGACY, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Alex Rey CardonaNPI 1326688003

Title

President/Chief Executive Officer

Phone

(407) 310-1707

Specialties & licenses 1

Addresses

Part of

Angel'S Legacy LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Rey Cardona

  • Case Manager/Care Coordinator
  • Orlando, FL
  • NPI 1326688003
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1104466788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N ORANGE AVE APT 716",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011188",
            "telephone_number": "407-310-1707",
            "fax_number": "877-538-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N ORANGE AVE APT 716",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011188",
            "telephone_number": "407-310-1707",
            "fax_number": "877-538-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S LEGACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL'S LEGACY, LLC",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "REY",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-310-1707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isaac Angel, DDS
• Vanessa Angel, DPT
• Angela Laing Anderson
• Mayeling Angelastro
• Mary Cale Angelelli
• Eric Angeles
• Michael Angelis, MD

• All providers in Orlando, FL
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.