Angel Star Grolup Home.Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ANGEL STAR GROLUP HOME.INC.

Practice address

29791 SW 164TH CT
Homestead, FL 33033-3296

Phone

(786) 389-4270

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

Odalys Jimenez

Title

Ceo

Phone

(786) 389-4270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1225957475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29791 SW 164TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333296",
            "telephone_number": "786-389-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29791 SW 164TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333296",
            "telephone_number": "786-389-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STAR GROLUP HOME.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-389-4270"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angels Care Therapy Center
• Angels Life and Care Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.