Organization Active NPI

True Angels Provider Care Services LLC

  • Developmental Disabilities Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1699320838
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
TRUE ANGELS PROVIDER CARE SERVICES LLC
Doing business as
Chiquita Adams
Practice address
5115 Clarendon Rd
Jacksonville, FL 32205-7205
Phone
(904) 802-1171
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Chiquita Adams
Title
Owner
Phone
(904) 802-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

5115 Clarendon Rd
Jacksonville, FL 32205-7205

Mailing address

5115 Clarendon Rd
Jacksonville, FL 32205-7205

Other names 1

  • Chiquita Adams Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1699320838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CLARENDON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CLARENDON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057205",
            "telephone_number": "904-802-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE ANGELS PROVIDER CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHIQUITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-802-1171"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiquita Adams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.