1316645864 NPI number — ANGEL HELPING HANDS CARE SUPPORT CORPERATIONS

Table of content: (NPI 1316645864)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316645864 NPI number — ANGEL HELPING HANDS CARE SUPPORT CORPERATIONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANGEL HELPING HANDS CARE SUPPORT CORPERATIONS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316645864
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2622 E CHELSEA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33610-7743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-326-6114
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2622 E CHELSEA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33610-7743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-326-6114
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2023

Additional Information

Authorized Official

Authorized Official Last Name:
HESTER
Authorized Official First Name:
ANGEL
Authorized Official Middle Name:
SHIRLEY
Authorized Official Title or Position:
HEALTHCARE PROVIDER, TRANSPORTATION
Authorized Official Telephone Number:
813-326-6114

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CIGNA . This is a "CIGNA: PPO, HMO, POS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: MULTIPLAN . This is a "MULTIPLAN: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: AETNA . This is a "AETNA: BASIC, PPO, POS, HMO, EPO, MC" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: BCBS . This is a "BCBS: PPO, BLUECARE, BLUE OPTIONS, BLUE SELECT, NETWORK BLUE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: HUMANA . This is a "HUMANA: PPO, HMO, PREMIER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: BAYCARE . This is a "BAYCARE: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: COVENTRY . This is a "COVENTRY: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: FIRSTHEALTH . This is a "FIRST HEALTH: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: CIGNAGREATWEST . This is a "CIGNA/GREAT WEST: PPO: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: BEECHSTREET . This is a "BEECH STREET: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: PHCS . This is a "PHCS: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: EVOLUTIONS . This is a "EVOLUTIONS: PPO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: UNITEDHEALTHCARE . This is a "UNITED HEALTH CARE (OPTUM): PPO, HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: MEDICARE . This is a "MEDICARE A AND PART B" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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