WINGS OF AN ANGEL INC (NPI# 1174017495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174017495 |
| Entity Type | Organization |
| Organization Name | WINGS OF AN ANGEL INC |
| Other Organization Name | WINGS OF AN ANGEL INC |
| Practice Address |
7957 Orleans St Miramar FL 33023-3561 |
| Practice Telephone | 7869850690 |
| Practice Fax Number | 7548889175 |
| Mailing Telephone | 7869850690 |
| Mailing Fax Number | 7548889175 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DENEZE M DOUGLAS (CEO) |
| Authorized Official Telephone | 7869850690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 372600000X | Adult Companion | 24912 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101375000 | 05 | |
| FL | 025122500 | 05 |
| Other Name | Type Code |
|---|---|
| Wings Of An Angel INC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WINGS OF AN ANGEL INC | 7957 Orleans St, Miramar, FL 33023-3561 |
| Street Address |
7957 ORLEANS ST |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33023-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558855874 | Deneze M Douglas | Home Health | 7957 Orleans St, Miramar, FL 33023-3561 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
| 1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
| 1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
| 1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
| 1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
| Find all providers in zip 33023 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346602075 | Mervis Jackson-moodie | Adult Companion | 8424 Long Acre Dr, Miramar, FL 33025-2816 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.