Angelcare With Vision
Organization Active NPI Assisted Living Facility · Bonifay, FL
NPI 1982197141 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1982197141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ANGELCARE WITH VISION
- Practice address
- 108 Wagner Rd
Bonifay, FL 32425-2923 - Phone
- (850) 694-7707
- NPI assigned
- Jun 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Tammy L Ceasor, CNA,ASSITED ADMINIST
- Title
- Ceo
- Phone
- (850) 694-7707
National Provider Directory
Locations
501 S Bolivar St
Chattahoochee, FL 32324
Phone (850) 363-1062
3577A Flat Creek Rd
Chattahoochee, FL 32324
3577 Flat Creek Rd
Chattahoochee, FL 32324
Phone (850) 273-3703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
108 Wagner Rd
Bonifay, FL 32425-2923
Mailing address
108 Wagner Rd
Bonifay, FL 32425-2923
Phone (850) 694-7707
Other practice location 1
3577 Flat Creek Rd
Chattahoochee, FL 32324
Phone (850) 273-3703
Other practice location 2
501 S Bolivar St
Chattahoochee, FL 32324-1347
Phone (850) 273-3703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006402000 | Medicaid | FL | |
| 265-87-4225 | Medicaid | FL |
Other providers in Bonifay, FL
- Mary M Alsobrooks
- Muhammad Amin
- Augusta Leana Anderson
- Muhammad Anees
- Angel Vision Bonifay LLC
- Bailey Family Practice
- Leisa H Bailey
- Warren N Bailey
- Barrio Neurology LLC
- Angelina Caroline Bell
All providers in Bonifay, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.