Organization Active NPI

Angels Care Private Duty Services LLC

  • Home Health Agency
  • Sarasota, FL
National Provider Identifier
1447810213
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS CARE PRIVATE DUTY SERVICES LLC
Practice address
5750 Honore Ave
Sarasota, FL 34233-3249
Phone
(877) 480-2244
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Mr. James Eyer
Title
Ceo
Phone
(813) 205-8536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5750 Honore Ave
Sarasota, FL 34233-3249

Mailing address

4801 George Rd Ste 190
Tampa, FL 33634-6200
Phone (813) 886-2023

Other names 1

  • Angels Care Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191025002733 FL Part A Provider - Home Health Agency 1052643988 Practice locations: Sarasota, FL

Home health agency certification: CCN 687043

Legal name
ANGELS CARE PRIVATE DUTY SERVICES LLC
Doing business as
ANGELS CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2020
Last certification
Mar 20, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 1, 2017 in FL
Enrollment address
5750 Honore Ave
Sarasota, FL 34233-3249

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Private Duty Services LLCCCN 687043
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 20, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2163071Angels Care Private Duty Services LLC5750 Honore Ave, Sarasota, FL 34233Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James W. Eyer Individual 5% Or Greater Direct Ownership InterestCeo Mar 1, 2017 100%
Operational/Managerial ControlCeo Owner Mar 1, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1447810213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GEORGE RD STE 190",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346200",
            "telephone_number": "813-886-2023",
            "fax_number": "813-886-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 HONORE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333249",
            "telephone_number": "877-480-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CARE PRIVATE DUTY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "EYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-205-8536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.