NPIMap

Organization Active NPI

Angel Sent Homecare LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1760110407
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGEL SENT HOMECARE LLC
Practice address
5503 Eartha Dr
Jacksonville, FL 32209-2141
Phone
(904) 930-7735
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Demetria BryantNPI 1144829151
Title
Ceo
Phone
(904) 930-7735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

5503 Eartha Dr
Jacksonville, FL 32209-2141

Mailing address

5503 Eartha Dr
Jacksonville, FL 32209-2141
Phone (904) 930-7735

Other identifiers 1

IdentifierTypeStateIssuer
COMPANIONOtherFLCOMPANION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ANGELSENTLLC@GMAIL.COM Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1760110407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 EARTHA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092141",
            "telephone_number": "904-930-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 EARTHA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322092141",
            "telephone_number": "904-930-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL SENT HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-930-7735"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANION",
            "identifier": "COMPANION",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ANGELSENTLLC@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "ANGELSENTLLC@GMAIL.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "5503 Eartha Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322092141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 10, 2022; 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.