Companion Angel's Professional Limited Liability Company

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

COMPANION ANGEL'S PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

157 Norma Dr
Daytona Beach, FL 32114-6509

Phone

(352) 682-7537

NPI assigned

Oct 11, 2022

Last updated

Oct 11, 2022By 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

Angel A GreenNPI 1477278679

Title

Certified Nurse Assistant

Phone

(352) 682-7537

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.

• Angel A Green

  • Nurse's Aide
  • Daytona Beach, FL
  • NPI 1477278679

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1508581646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 NORMA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146509",
            "telephone_number": "352-682-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 NORMA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321146509",
            "telephone_number": "352-682-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION ANGEL'S PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CERTIFIED NURSE ASSISTANT",
        "authorized_official_telephone_number": "352-682-7537"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.