Provider Demographics
NPI:1346688603
Name:GEORGES ANGELS
Entity Type:Organization
Organization Name:GEORGES ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:3529490822
Authorized Official - Phone:352-949-0822
Mailing Address - Street 1:PO BOX 439
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32644-0439
Mailing Address - Country:US
Mailing Address - Phone:352-949-0822
Mailing Address - Fax:
Practice Address - Street 1:25674 SE 19 HWY
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:FL
Practice Address - Zip Code:32680
Practice Address - Country:US
Practice Address - Phone:352-949-0822
Practice Address - Fax:352-542-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232880251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002704800Medicaid
FL1346688603Medicaid