Organization Active NPI

Angelforce Inc

Doing business as lorraine williams

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1780983718
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
675103296 Issued in FL
Legal business name
ANGELFORCE INC
Doing business as
lorraine williams
Practice address
112 Lane Ave S
Post Office Box 77377
Jacksonville, FL 32254-3524
Phone
(904) 534-6711
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Ms. Lorraine Stewart Williams
Title
President/Owner
Phone
(904) 534-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 675103296 FL Primary

Addresses

Primary practice location

112 Lane Ave S
Post Office Box 77377
Jacksonville, FL 32254-3524

Mailing address

112 Lane Avenue South
Jacksonville, FL 32254-3524
Phone (904) 534-6711

Other identifiers 2

IdentifierTypeStateIssuer
675103296OtherFLMEDWAIVER
675103296MedicaidFL

Other names 1

  • lorraine williams Doing business as

National Provider Directory

National Provider Directory

Locations

112 Lane Ave S
Jacksonville, FL 32254
Phone (904) 534-6711

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1780983718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LANE AVENUE SOUTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543524",
            "telephone_number": "904-534-6711",
            "fax_number": "904-768-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANE AVE S",
            "address_2": "POST OFFICE BOX 77377",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543524",
            "telephone_number": "904-534-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELFORCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-534-6711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "675103296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER",
            "identifier": "675103296",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675103296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lorraine williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 16, 2011; 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.