ANGEL'S LEGACY, LLC (NPI# 1104466788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104466788 |
| Entity Type | Organization |
| Organization Name | ANGEL'S LEGACY, LLC |
| Practice Address |
777 N Orange Ave Apt 716 Orlando FL 32801-1188 |
| Practice Telephone | 4073101707 |
| Practice Fax Number | 8775385599 |
| Mailing Telephone | 4073101707 |
| Mailing Fax Number | 8775385599 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-10-11 |
| Authorized Official Name | MR. ALEX REY CARDONA (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4073101707 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANGEL'S LEGACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Full Circle Healthcare Solutions | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANGEL'S LEGACY, LLC | 29181 Waller Road, Delmar, MD 21875-2523 |
| Street Address |
777 N ORANGE AVE APT 716 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32801-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007676 | Darin Counseling, LLC | Counselor | 1309 East Robinson Street, Orlando, FL 32801 | 2019-05-02 |
| 1144787938 | Kathryn Hankins | Physician Assistant | 801 N. Orange Ave., Suite 600, Orlando, FL 32801 | 2019-02-27 |
| 1073078044 | Lillie Albadin | Physician Assistant | 801 N. Orange Ave, Suite 600, Orlando, FL 32801 | 2019-02-04 |
| 1851800874 | Michael Smith | Physician Assistant | 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 | 2017-09-21 |
| 1578082863 | Merito Mifo B. Sabangan | Physical Therapist | 1201 Noble Place, Orlando, FL 32801 | 2017-09-18 |
| 1417475351 | Lyla Shaina Halikman | Behavioral Analyst | 545 Delaney Ave Ste 5, Orlando, FL 32801 | 2017-08-30 |
| 1629520341 | Alexander Raiken | Dentist | 899 N Orange Ave Apt 501, Orlando, FL 32801 | 2016-10-28 |
| 1508286824 | Healthcheck Medical, Inc. | Specialist | 5 East Colonial Drive, Orlando, FL 32801 | 2014-04-25 |
| 1033531546 | Rushin Nalin Patel | Internal Medicine | 150 E Robinson St Unit 3206, Orlando, FL 32801 | 2014-01-17 |
| 1649613571 | Carehere LLC | Family Medicine | 10430 Ray Road, Pontre Vedra, FL 32801 | 2013-04-10 |
| Find all providers in zip 32801 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1619596517 | Inteem Health | Case Management | 11977 S Apopka Vineland Rd, Orlando, FL 32836-7025 | 2020-04-10 |
| 1386273555 | Goodlife Support Services, LLC | Case Management | 6917 Narcoossee Rd Ste 728, Orlando, FL 32822-7002 | 2020-04-08 |
| 1629613559 | Eileen E Fuentes | Case Management | 12714 Moss Park Ridge Dr, Orlando, FL 32832-7086 | 2019-11-14 |
| 1306317557 | Redspot Healthcare Solutions LLC | Case Management | 180 E Landstreet Rd Ste B, Orlando, FL 32824-7862 | 2018-12-16 |
| 1740755529 | Geo Health | Case Management | 12207 Braxted Dr, Orlando, FL 32837-6533 | 2018-10-09 |
| 1366938193 | Arisbeidis Rodriguez | Case Management | 333 Canoe Trail Ln, Orlando, FL 32825-3336 | 2018-07-04 |
| 1942703707 | Mary L. Aviles | Case Management | 6474 Vineland Rd Unit 207, Orlando, FL 32819-7879 | 2018-03-16 |
| 1295236701 | Yacnorev Community Services LLC | Case Management | 750 S Orange Blossom Trl Ste 119, Orlando, FL 32805-3154 | 2018-02-21 |
| 1033624234 | Fresh Start Solution | Case Management | 7754 Clementine Way, Orlando, FL 32819-4612 | 2017-12-10 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.