Active NPI
Visiting Angels Lakeland
- Personal Care Attendant
- Lake Wales, FL
National Provider Identifier
1336052539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- PROVIDENCE LAUNCH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- VH and Wellness, LLC (Vida Health and Wellness)
- Vicente S Verzosa MD PA
- Monica Vickers
- Victory Ridge Academy, Inc.
- Heydee Vigo Carrasquillo
- Nataliya Voisard
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0859)
- Wal-Mart Stores East, LP (Vision Center 30-0859)
- Walgreen Co (Walgreens #04380)
- Walgreen Co (Walgreens #11190)
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.