Organization Active NPI

Angel Concierge Care LLC

  • Nursing Care Agency
  • Boynton Beach, FL
National Provider Identifier
1508783002
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ANGEL CONCIERGE CARE LLC
Practice address
627 SW 3Rd Ave
Boynton Beach, FL 33426-4701
Phone
(561) 528-0629
NPI assigned
Jul 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Authorized official

Name
Wadeline Derilus, LPN
Title
MGR
Phone
(561) 528-0629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

627 SW 3Rd Ave
Boynton Beach, FL 33426-4701

Mailing address

627 SW 3Rd Ave
Boynton Beach, FL 33426-4701
Phone (561) 528-0629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783123200000",
    "number": "1508783002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 SW 3RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334264701",
            "telephone_number": "561-528-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 SW 3RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334264701",
            "telephone_number": "561-528-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CONCIERGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A",
        "authorized_official_last_name": "DERILUS",
        "authorized_official_first_name": "WADELINE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-528-0629",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.