Organization Active NPI

Premier Angels, Inc

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1114868197
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PREMIER ANGELS, INC
Practice address
150 Busch Dr Unit 26121
Jacksonville, FL 32218-5547
Phone
(904) 864-4169
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Tamara Williams
Title
Owner
Phone
(904) 864-4169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

150 Busch Dr Unit 26121
Jacksonville, FL 32218-5547

Mailing address

150 Busch Dr Unit 26121
Jacksonville, FL 32218-5547
Phone (904) 864-4169

National Provider Directory

National Provider Directory

Locations

150 Busch Dr
Unit 26121
Jacksonville, FL 32218
Phone (904) 864-4169

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1114868197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUSCH DR UNIT 26121",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185547",
            "telephone_number": "904-864-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUSCH DR UNIT 26121",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185547",
            "telephone_number": "904-864-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANGELS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-864-4169"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.