Organization Active NPI

Lakesha N. Richards

  • Home Health Aide
  • Orlando, FL
National Provider Identifier
1932617859
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LAKESHA N. RICHARDS
Doing business as
Miracle Angel Supportive Services
Practice address
5230 Gold Tree CT
Orlando, FL 32808-1772
Phone
(407) 580-5933
Fax
(321) 445-5468
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Ms. Lakesha N RichardsNPI 1730614082
Title
Owner/Director
Phone
(407) 580-5933

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
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

5230 Gold Tree CT
Orlando, FL 32808-1772

Mailing address

5230 Gold Tree CT
Orlando, FL 32808-1772
Phone (407) 580-5933

Other identifiers 1

IdentifierTypeStateIssuer
020694800MedicaidFL

Other names 1

  • Miracle Angel Supportive Services Doing business as

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": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1932617859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 GOLD TREE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081772",
            "telephone_number": "407-580-5933",
            "fax_number": "321-445-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 GOLD TREE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081772",
            "telephone_number": "407-580-5933",
            "fax_number": "321-445-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHA N. RICHARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "407-580-5933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020694800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Angel Supportive Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.