Organization Active NPI

Wings of an Angel Inc

  • Home Health Aide
  • Loxahatchee, FL
National Provider Identifier
1235722893
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
WINGS OF AN ANGEL INC
Practice address
15098 72ND Cir
Loxahatchee, FL 33470-3347
Phone
(786) 985-0690
Fax
(754) 888-9175
NPI assigned
Feb 15, 2021
Organization subpart
Yes
Parent organization
WINGS OF AN ANGEL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Deneze M DouglasNPI 1558855874
Title
Ceo
Phone
(786) 985-0690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

15098 72ND Cir
Loxahatchee, FL 33470-3347

Mailing address

7957 Orleans St
Miramar, FL 33023-3561
Phone (786) 985-0690

Other names 1

  • Wings of an Angel INC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.wingsofanangelinc.com

National Provider Directory

National Provider Directory
Tax ID family
Wings of an Angel Inc2 organizations share this tax ID, including this one
Part of
Wings of an Angel Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1235722893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 ORLEANS ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233561",
            "telephone_number": "786-985-0690",
            "fax_number": "754-888-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15098 72ND CIR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703347",
            "telephone_number": "786-985-0690",
            "fax_number": "754-888-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF AN ANGEL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINGS OF AN ANGEL INC",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DENEZE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-985-0690"
    },
    "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": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wingsofanangelinc.com",
            "affiliation": "N",
            "address_1": "15098 72nd CIR",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334703347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wings of an Angel INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.