NPIMap

Organization Active NPI

Angel Oak

  • Adult Companion
  • Spring Hill, FL
National Provider Identifier
1780243311
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
ANGEL OAK
Practice address
1591 Larkin Rd
Spring Hill, FL 34608-6451
Phone
(352) 584-7473
Fax
(352) 556-2612
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Mrs. Elaine De CiutiisNPI 1831758614
Title
Owner/Administrator
Phone
(352) 584-7473

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

1591 Larkin Rd
Spring Hill, FL 34608-6451

Mailing address

1591 Larkin Rd
Spring Hill, FL 34608-6451
Phone (352) 584-7473

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": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1780243311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 LARKIN RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346086451",
            "telephone_number": "352-584-7473",
            "fax_number": "352-556-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 LARKIN RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346086451",
            "telephone_number": "352-584-7473",
            "fax_number": "352-556-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "DE CIUTIIS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "352-584-7473",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.