Organization Active NPI

Visiting Angels Lakeland

  • Personal Care Attendant
  • Lake Wales, FL
National Provider Identifier
1336052539
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
VISITING ANGELS LAKELAND
Practice address
100 W Stuart Ave Ste 308
Lake Wales, FL 33853-4001
Phone
(863) 818-4748
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE LAUNCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Matthew Norman, RN
Title
Executive Director
Phone
(862) 818-4748

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU

Addresses

Primary practice location

100 W Stuart Ave Ste 308
Lake Wales, FL 33853-4001

Mailing address

100 W Stuart Ave Ste 308
Lake Wales, FL 33853-4001
Phone (863) 818-4748

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1336052539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W STUART AVE STE 308",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534001",
            "telephone_number": "863-818-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W STUART AVE STE 308",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534001",
            "telephone_number": "863-818-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANGELS LAKELAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE LAUNCH",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "862-818-4748",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.