Provider Demographics
NPI:1477813806
Name:MY DARLING ANGELS HOME COMPANION SERVICES
Entity Type:Organization
Organization Name:MY DARLING ANGELS HOME COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-602-0694
Mailing Address - Street 1:102 MORNINGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726
Mailing Address - Country:US
Mailing Address - Phone:352-602-0694
Mailing Address - Fax:352-357-1302
Practice Address - Street 1:102 MORNINGVIEW DR
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726
Practice Address - Country:US
Practice Address - Phone:352-602-0694
Practice Address - Fax:352-357-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16367232603253Z00000X
FL1636723603347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle