Organization Active NPI

Anglin Premier Care LLC.

  • In Home Supportive Care Agency
  • Haines City, FL
National Provider Identifier
1922564319
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGLIN PREMIER CARE LLC.
Practice address
995 Bates Rd
Haines City, FL 33844-6412
Phone
(863) 604-4591
NPI assigned
Feb 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Marye Anglin, RN
Title
Owner
Phone
(863) 604-4591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

995 Bates Rd
Haines City, FL 33844-6412

Mailing address

995 Bates Rd
Haines City, FL 33844-6412
Phone (863) 604-4591

Other identifiers 2

IdentifierTypeStateIssuer
024849700MedicaidFL
021272600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1922564319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 BATES RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446412",
            "telephone_number": "863-604-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BATES RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446412",
            "telephone_number": "863-604-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGLIN PREMIER CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "MARYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-604-4591",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024849700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021272600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.