Angel R Sloan
Individual provider Active NPI Personal Care Attendant · Mulberry, FL
NPI 1417122003 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1417122003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2689 Sundance Cir
Mulberry, FL 33860-6549 - Phone
- (863) 709-0044
- Fax
- (863) 709-0044
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2689 Sundance Cir
Mulberry, FL 33860-6549
Mailing address
2689 Sundance Cir
Mulberry, FL 33860-6549
Phone (863) 709-0044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230004400 | Medicaid | FL |
Other providers in Mulberry, FL
- Salazar Family Health Care, Inc
- Maria V Santaella
- Yudith Santana Gallardo
- Fariba Shafii
- Abhaykumar Sobhagchand Shah
- Angela Smith
- Suzanne Kathleen Smith
- David Michael Swager
- Laurie Ann Sweeney
- David Malcom Thomas
All providers in Mulberry, FL · Personal Care Attendant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.