Provider Demographics
NPI:1760089429
Name:HELPING ANGELS THRIVE, INC.
Entity Type:Organization
Organization Name:HELPING ANGELS THRIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ VP
Authorized Official - Prefix:
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NUNEZ DEJESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-934-4284
Mailing Address - Street 1:305 PROVIDENCE RD APT 101
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4739
Mailing Address - Country:US
Mailing Address - Phone:639-344-2848
Mailing Address - Fax:
Practice Address - Street 1:305 PROVIDENCE RD APT 101
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4739
Practice Address - Country:US
Practice Address - Phone:863-934-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities