Provider Demographics
NPI:1073010971
Name:CARING 4 ANGELS LLC
Entity Type:Organization
Organization Name:CARING 4 ANGELS LLC
Other - Org Name:CARING 4 ANGELS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEBDRIETTA
Authorized Official - Middle Name:W
Authorized Official - Last Name:GAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-415-5401
Mailing Address - Street 1:PO BOX 141675
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1675
Mailing Address - Country:US
Mailing Address - Phone:352-415-5401
Mailing Address - Fax:
Practice Address - Street 1:6113 NW 23RD TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-1980
Practice Address - Country:US
Practice Address - Phone:352-415-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234403376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020392700Medicaid