Provider Demographics
NPI:1407641657
Name:TAYLOR, ANGELLA (HHA)
Entity type:Individual
Prefix:
First Name:ANGELLA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4522 BROOK DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-8205
Mailing Address - Country:US
Mailing Address - Phone:863-236-4822
Mailing Address - Fax:
Practice Address - Street 1:4522 BROOK DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8205
Practice Address - Country:US
Practice Address - Phone:863-236-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHC3792374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide