Organization Active NPI

Angels Home Health LLC

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1962856898
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ANGELS HOME HEALTH LLC
Practice address
1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927
Phone
(239) 351-2298
Fax
(239) 331-3570
NPI assigned
Apr 18, 2016
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Elizabeth Nino, FNPNPI 1548625627
Title
Owner
Phone
(239) 351-2298

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927

Mailing address

1110 Pine Ridge Rd Ste 201
Naples, FL 34108-8927
Phone (239) 351-2298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160719002591 FL Part B Supplier - Clinic/Group Practice 8628361227 Receives reassigned benefits from 2 practitioners
Practice locations: Bonita Springs, FL; Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2233840Angels Home Health, LLC1110 Pine Ridge Road Suite 201, Naples, FL 34108Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

Locations

1110 Pine Ridge Rd
Ste 201
Naples, FL 34108
Phone (239) 351-2298

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1962856898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-351-2298",
            "fax_number": "239-331-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-351-2298",
            "fax_number": "239-331-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "NINO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-351-2298",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.