Holy Angel Retirement Living & Care Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL# 7622 Issued in FL

Legal business name

HOLY ANGEL RETIREMENT LIVING & CARE INC

Doing business as

Tangerine Cove of Brooksville

Practice address

307 Howell Ave
Brooksville, FL 34601-2039

Phone

(352) 796-3276

Fax

(352) 754-8584

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pier Gasmena

Title

President

Phone

(863) 595-7353

Specialties & licenses 1

Addresses

Other names 1

• Tangerine Cove of Brooksville Doing business as

Tax ID family

Holy Angel Retirement Living and Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holy Angel Retirement Living and Care Inc.

  • Assisted Living Facility (Mental Illness)
  • Brooksville, FL
  • NPI 1437332095
  NPD tax ID

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1770768426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BON AIR ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054631",
            "telephone_number": "863-688-1196",
            "fax_number": "863-687-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012039",
            "telephone_number": "352-796-3276",
            "fax_number": "352-754-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGEL RETIREMENT LIVING & CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "GASMENA",
        "authorized_official_first_name": "PIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-595-7353",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL# 7622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tangerine Cove of Brooksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Genesis Holland
• Jeffery W Holloway II, MD
• Holy Angel Retirement Living and Care Inc.
• Home Dialysis Services North Tampa LLC
• Home Modification Solutions, Inc.
• Holden Honor, MS, RD
• Lydia Honor

• Assisted Living Facility (Mental Illness) in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.