NPIMap

Organization Active NPI

Sea Angel Med, LLC

  • Homemaker
  • Lake Worth, FL
National Provider Identifier
1831706092
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
SEA ANGEL MED, LLC
Practice address
4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818
Phone
(561) 420-2437
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Joshua GuadalupeNPI 1134734692
Title
Owner/Operator
Phone
(561) 420-2437

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
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818

Mailing address

4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1831706092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 LUCERNE LAKES BLVD W APT 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 LUCERNE LAKES BLVD W APT 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678818",
            "telephone_number": "561-420-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ANGEL MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "GUADALUPE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "561-420-2437"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.