Angelic Home Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGELIC HOME SERVICES, INC.

Practice address

3916 Talon Crest Dr
Lakeland, FL 33812-4156

Phone

(863) 440-2552

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Lativia Deanna Johnson

Title

Owner

Phone

(863) 440-2662

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1730509092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 TALON CREST DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124156",
            "telephone_number": "863-440-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 TALON CREST DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124156",
            "telephone_number": "863-440-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LATIVIA",
        "authorized_official_middle_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-440-2662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000666160",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Androsko
• Anesthesia Concepts,LLC
• Anesthesiology and Pain Management Consultants,LC
• Sarah Anetus
• Angel Eyes Home Care LLC
• Assia Angelini
• Angels on Earth Ppec, Inc.
• Angels on Earth Ppec, Inc.
• Carolyn A. Anglin, LMHC
• Ankle & Foot Center of Tampa Bay

• Community Based Hospice Care Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.