ANGEL VICTORY HEALTHCARE LLC (NPI# 1285283085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285283085 |
| Entity Type | Organization |
| Organization Name | ANGEL VICTORY HEALTHCARE LLC |
| Practice Address |
850 Nw 210th St Apt 103 Miami FL 33169-7004 |
| Mailing Address |
3601 W Commercial Blvd Ste 17 Fort Lauderdale FL 33309-3320 |
| Practice Telephone | 9547734036 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | GERALDA D ADRIEN (CEO) |
| Authorized Official Telephone | 9547734036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
850 NW 210TH ST APT 103 |
| City | MIAMI |
| State | FL |
| Zip Code | 33169-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1053923474 | K&v Hope Group Home LLC | Clinic/Center | 10461 Sw 161st St, Miami, FL 33157-3035 | 2020-08-18 |
| 1184235913 | Exclusive Quality Care Inc | Clinic/Center | 15051 Sw 149th St, Miami, FL 33196-2363 | 2020-08-14 |
| 1871103721 | Ncg Home Health Inc | Clinic/Center | 17030 Sw 138th Ct, Miami, FL 33177-6493 | 2020-08-05 |
| 1063048601 | Lema Care Corp | Clinic/Center | 14150 Sw 84th St, Miami, FL 33183-4496 | 2020-03-16 |
| 1629603394 | Gardens Group Home Corp | Clinic/Center | 14502 Sw 18th St, Miami, FL 33175-7074 | 2020-03-03 |
| 1275166100 | Gallego Adult Home, Inc. | Clinic/Center | 12820 Sw 74th St, Miami, FL 33183-3410 | 2020-02-19 |
| 1841820636 | Kenya Scott | Clinic/Center | 1798 Nw 76th St, Miami, FL 33147-6150 | 2020-01-21 |
| 1063051886 | Angels Home Caring Services Inc | Clinic/Center | 10300 Sw 72nd St Ste 468, Miami, FL 33173-3028 | 2019-12-26 |
| Find all providers in MIAMI | ||||
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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.