Organization Active NPI

Angel's Adult Family Care Home

  • Adult Care Home Facility
  • Spring Hill, FL
National Provider Identifier
1316373103
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ANGEL'S ADULT FAMILY CARE HOME
Practice address
3204 Montague Ave
Spring Hill, FL 34608-4155
Phone
(585) 747-2203
Fax
(352) 684-8677
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Ms. Javonne B Chen
Title
Director
Phone
(585) 747-2203

Specialties & licenses 1

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

Addresses

Primary practice location

3204 Montague Ave
Spring Hill, FL 34608-4155

Mailing address

3204 Montague Ave
Spring Hill, FL 34608-4155
Phone (585) 747-2203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1316373103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MONTAGUE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346084155",
            "telephone_number": "585-747-2203",
            "fax_number": "352-684-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 MONTAGUE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346084155",
            "telephone_number": "585-747-2203",
            "fax_number": "352-684-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JAVONNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-747-2203",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.