ANGEL HOUSE (NPI# 1629373410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629373410 |
| Entity Type | Organization |
| Organization Name | ANGEL HOUSE |
| Practice Address |
10810 Nw 20th St Pembroke Pines FL 33026-2224 |
| Practice Telephone | 9544837300 |
| Mailing Telephone | 9544837300 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | MRS. DOREEN CAMPBELL (OWNER) |
| Authorized Official Telephone | 9544837300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | FL | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Angel House | 36 South 18th Avenue, Suite D, Brighton, CO 80601 |
| Oregon Corporations, Companies and Business Names | ANGEL HOUSE | 950 Sw Veterans Way Ste 100, Redmond, OR 97756 |
| System for Award Management (SAM) Entities | ANGEL HOUSE | 719 Brinkwood Rd, Baltimore, MD 21229-1413 |
| Washington State Corporations | ANGEL HOUSE CLEANING INC | 2112 S 90th St #123, Tacoma, WA 98444 |
| Colorado Business Entities | ANGEL HOUSE CLEANING LLC | 29 Ryan Gulch, Silverthorne, CO 80498 |
| Oregon Corporations, Companies and Business Names | ANGEL HOUSE CLEANING LLC | Po Box 8801, Medford, OR 97501 |
| Oregon Corporations, Companies and Business Names | ANGEL HOUSE CO-OP | 3915 Nw Sitka Place, Corvallis, OR 97330 |
| Virginia Business Entities | ANGEL HOUSE COMMUNITY DEVELOPMENT CENTER INC. | 941 Newtown Road, Va. Beach, Virginia 23462 |
| Colorado Business Entities | Angel House Inc | 2800 Road 7.7, #860, Dove Creek, CO 81324 |
| Virginia Business Entities | ANGEL HOUSE INC. | 3707 Va Beach Blvd., Ste 206, Va. Beach, Virginia 23452 |
| Street Address |
10810 NW 20TH ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336383009 | Dbpines | In Home Supportive Care | 10810 Nw 20th St, Pembroke Pines, FL 33026-2224 | 2009-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812262 | Leeward Isle Homes | Assisted Living Facility | 740 Nw 85th Way, Pembroke Pines, FL 33024-6615 | 2020-02-12 |
| 1821635327 | Guiding Light Assisted Living Retirement Home Care LLC | Assisted Living Facility | 302 Sw 85th Way Apt 310, Pembroke Pines, FL 33025-4517 | 2019-12-03 |
| 1437650959 | Cozy Care Residence of Pembroke Pines | Assisted Living Facility | 7650 Taft St, Pembroke Pines, FL 33024-5254 | 2018-02-21 |
| 1033628730 | Eagle's Eye Comfort Care LLC. | Assisted Living Facility | 8620 Nw 3rd St, Pembroke Pines, FL 33024-6567 | 2017-09-25 |
| 1528519824 | Dave Anthony Dunn | Assisted Living Facility | 9920 Nw 3rd St, Pembroke Pines, FL 33024-6146 | 2016-10-21 |
| 1043667421 | Continual Care Facility | Assisted Living Facility | 9360 Nw 20th St, Pembroke Pines, FL 33024-3112 | 2016-05-16 |
| 1548650385 | Nami Home 2 Inc | Assisted Living Facility | 11120 Sw 10th St, Pembroke Pines, FL 33025-5508 | 2015-02-02 |
| 1780029553 | Betsy's Loving Home Inc | Assisted Living Facility | 309 Sw 68th Ave, Pembroke Pines, FL 33023-1134 | 2013-05-07 |
| 1487098067 | Twenty Four Seven Usa Inc | Assisted Living Facility | 741 Sw 72nd Ave, Pembroke Pines, FL 33023-1076 | 2013-04-25 |
| 1053619544 | Pines Retirement Residence, Inc. | Assisted Living Facility | 7740 Nw 1st St, Pembroke Pines, FL 33024-6966 | 2011-03-07 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on ANGEL HOUSE.
| 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.