HOLY ANGEL RETIREMENT LIVING & CARE INC (NPI# 1770768426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770768426 |
| Entity Type | Organization |
| Organization Name | HOLY ANGEL RETIREMENT LIVING & CARE INC |
| Other Organization Name | TANGERINE COVE OF BROOKSVILLE |
| Practice Address |
307 Howell Ave Brooksville FL 34601-2039 |
| Mailing Address |
747 Bon Air St Lakeland FL 33805-4631 |
| Practice Telephone | 3527963276 |
| Practice Fax Number | 3527548584 |
| Mailing Telephone | 8636881196 |
| Mailing Fax Number | 8636877707 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MS. PIER GASMENA (PRESIDENT) |
| Authorized Official Telephone | 8635957353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL# 7622 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Tangerine Cove of Brooksville | Doing Business As Name - Organization |
| Street Address |
307 HOWELL AVE |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519843 | Quality of Life Homecare of Hernando, Inc. | Home Health | 307 Howell Ave, Brooksville, FL 34601-2039 | 2006-07-14 |
| 1992340624 | Nss-alf Brooksville LLC | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2019-11-18 |
| 1437663952 | Tangerine Cove Plc LLC | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2017-11-20 |
| 1356765952 | Tangerine Cove of Brooksville Bslc LLC | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2014-02-18 |
| 1891049383 | Aoreal LLC | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2012-11-05 |
| 1558611384 | Adjust-care LLC | Social Worker | 307 Howell Ave, Brooksville, FL 34601-2039 | 2012-09-19 |
| 1437332095 | Holy Angel Retirement Living and Care Inc. | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2007-12-06 |
| 1205957479 | Hernando Health Care, Inc | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437332095 | Holy Angel Retirement Living and Care Inc. | Assisted Living Facility | 307 Howell Ave, Brooksville, FL 34601-2039 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1003434028 | Carolyn Clanton Alf LLC | Assisted Living Facility | 1146 Hamilton Ave, Jennings, FL 32053-2253 | 2020-07-07 |
| 1356964555 | Cordoba Alf LLC | Assisted Living Facility | 1135 Sw 100th Ct, Miami, FL 33174-2848 | 2020-05-21 |
| 1205461563 | Alegria Alf LLC | Assisted Living Facility | 1150 Sw 103rd Ct, Miami, FL 33174-2759 | 2020-03-06 |
| 1134764368 | Aum Haven LLC | Assisted Living Facility | 2763 Carmel Ct, Kissimmee, FL 34746-3268 | 2019-11-12 |
| 1275180515 | 1161 Cambridge LLC | Assisted Living Facility | 1161 W 2nd St, Riviera Beach, FL 33404-7627 | 2019-08-21 |
| 1386291623 | Cambridge 13 LLC | Assisted Living Facility | 1560 W 13th St, Riviera Beach, FL 33404-6521 | 2019-08-21 |
| 1851948418 | 3411 Ave Cambridge LLC | Assisted Living Facility | 3411 Avenue H E, Riviera Beach, FL 33404-2101 | 2019-08-19 |
| 1326694308 | W 2nd Cambridge LLC | Assisted Living Facility | 570 W 2nd St, Riviera Beach, FL 33404-7616 | 2019-08-14 |
| 1154976512 | Quality Health Care of Florida.llc | Assisted Living Facility | 1250 Nw 122nd Ave, Plantation, FL 33323-2420 | 2019-08-02 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
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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.