Provider Demographics
NPI:1518409077
Name:CARING ANGELS HOME OF FLORIDA
Entity type:Organization
Organization Name:CARING ANGELS HOME OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-721-4525
Mailing Address - Street 1:2287 RIDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6157
Mailing Address - Country:US
Mailing Address - Phone:845-721-4527
Mailing Address - Fax:
Practice Address - Street 1:118 MEADOWLARK DR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2969
Practice Address - Country:US
Practice Address - Phone:845-721-4527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility