Provider Demographics
NPI:1699102772
Name:ANGEL CARE, INC.
Entity type:Organization
Organization Name:ANGEL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KISWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-923-4608
Mailing Address - Street 1:3900 WIMBLEDON DR
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4024
Mailing Address - Country:US
Mailing Address - Phone:407-923-4608
Mailing Address - Fax:
Practice Address - Street 1:1501 W 1ST ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1618
Practice Address - Country:US
Practice Address - Phone:407-328-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9255261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care