Angels on Assignment

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ANGELS ON ASSIGNMENT

Practice address

5773 N Salt Rd
Monticello, FL 32344-5173

Phone

(850) 544-3045

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By 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. Derylene G. Proctor, M.S.NPI 1710351986

Title

Owner

Phone

(850) 544-3045

Specialties & licenses 3

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.

• Derylene Proctor

  • Case Manager/Care Coordinator
  • Monticello, FL
  • NPI 1710351986
  NPD (past) Authorized official

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1619349347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 N SALT RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445173",
            "telephone_number": "850-544-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5773 N SALT RD",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445173",
            "telephone_number": "850-544-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON ASSIGNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "DERYLENE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-544-3045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "P623-167-59-760-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1780 Management LLC (cross landings health and rehabilitation center)
• Adin Matthew Mora Velazquez Jr (Moras Companion Caregiver Services)
• Alliance Family Resource Services
• Apalachee Center Inc
• Apalachee Center, Inc
• Jonathan S Appelbaum, M.D.
• Archbold Medical Group (Gerry Medical Center)
• Attentive in Home Care

• Case Management Agency in Monticello, FL
• Providers in Monticello, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.