Organization Active NPI

Angel Lovin Trust Care Corp.

  • Exclusive Provider Organization
  • Brandon, FL
National Provider Identifier
1649432865
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
229917 Issued in FL
Legal business name
ANGEL LOVIN TRUST CARE CORP.
Practice address
1721 Woodmarker CT
Brandon, FL 33510-2760
Phone
(813) 802-6174
NPI assigned
Jun 29, 2008
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Margarita Camara
Title
President
Phone
(813) 802-6174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 229917 FL Primary

Addresses

Primary practice location

1721 Woodmarker CT
Brandon, FL 33510-2760

Mailing address

PO Box 478
Brandon, FL 33509-0478

Other identifiers 2

IdentifierTypeStateIssuer
692057898MedicaidFL
692057801MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1649432865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 WOODMARKER CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102760",
            "telephone_number": "813-802-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL LOVIN TRUST CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "CAMARA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-802-6174"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "229917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692057898",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692057801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.