Provider Demographics
NPI:1154074946
Name:ULTIMATE ANGEL'S NURSE REGISTRY INC.
Entity Type:Organization
Organization Name:ULTIMATE ANGEL'S NURSE REGISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRAOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-821-6986
Mailing Address - Street 1:123 NW 13TH ST STE 304-06
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1641
Mailing Address - Country:US
Mailing Address - Phone:954-821-6986
Mailing Address - Fax:
Practice Address - Street 1:123 NW 13TH ST STE 304-06
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1641
Practice Address - Country:US
Practice Address - Phone:954-821-6986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health