Fostering Our Angels Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

FOSTERING OUR ANGELS INC.

Practice address

9950 Sheridan St Apt 202
Pembroke Pines, FL 33024-3052

Phone

(305) 807-4818

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 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

Shaday Cleare

Title

Vice President

Phone

(305) 807-4818

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1689483125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19821 NW 2ND AVE STE 186",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693341",
            "telephone_number": "786-877-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 SHERIDAN ST APT 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243052",
            "telephone_number": "305-807-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTERING OUR ANGELS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "CLEARE",
        "authorized_official_first_name": "SHADAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-807-4818"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ondene Forrest, PA-C
• Warren Forstmann
• David Forsythe, MD
• Carlos Forte, PTA, CKTP
• Takese Foster
• Fountain Imaging of Pembroke Pines,LLC (Fountain Imaging)
• Fountain of Life Community Development Center
• Four Leaf Home Care LLC
• Four Star Corporate Catering
• Four Walls Studio LLC (Four Walls Wellness Hub)

• Developmental Disabilities Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.