Angels on Earth Assisted Living Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANGELS ON EARTH ASSISTED LIVING HOME, LLC

Practice address

2211 Yaupon Dr
Tallahassee, FL 32303-3918

Phone

(850) 895-3891

Fax

(800) 918-5001

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Latoya JacksonNPI 1659807477

Title

Owner

Phone

(305) 240-2741

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latoya Jackson

  • Point of Service
  • Tallahassee, FL
  • NPI 1659807477
  NPD Authorized official

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1457198558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 YAUPON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033918",
            "telephone_number": "850-895-3891",
            "fax_number": "800-918-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 YAUPON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033918",
            "telephone_number": "850-895-3891",
            "fax_number": "800-918-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON EARTH ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-240-2741",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Angel, PTA
• Angela Durant Turner
• Angelic Experience Home Care LLC
• Angels of Comfort Home Health Services LLC
• Angels on Earth Adult Day Center LLC
• Angels on Earth Senior Service
• Farhana Anisha
• Anne Tierney, LCSW, LLC
• Claire D Anthony-Davis, RN
• Mona Lynn Golden Antley, APRN

• Assisted Living Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.