Angela Renee's Home Care LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

ANGELA RENEE'S HOME CARE LLC

Practice address

2398 Cory CT
Ocoee, FL 34761

Phone

(847) 445-0538

Fax

(800) 479-9091

NPI assigned

Apr 27, 2019

Last updated

May 2, 2019By 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. Darlene Michele Kennard, RN

Title

Owner/President

Phone

(847) 445-0538

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1740844422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682334",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328682334",
            "telephone_number": "847-445-0538",
            "fax_number": "800-479-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 CORY CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "847-445-0538",
            "fax_number": "800-479-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA RENEE'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "KENNARD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-445-0538",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.