Organization
ANGEL GUARDIAN ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEANN J SIMONE (ADMINISTRATOR)
(321) 223-8371
Entity
Organization
Contact information
Practice address
280 BAHAMA DR, MERRITT ISLAND, FL 32952-3605
(321) 848-0255
Mailing address
280 BAHAMA DR., MERRITT ISLAND, FL 32952
(321) 848-0255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
PERSONAL SOCIAL SECURITY
NY
05
—
008458000
—
FL
01
—
1184967184
PERSONAL NPI #
FL
01
—
AL10561
AHCA LICENSE #
FL
Enumeration date
04/10/2014
Last updated
05/21/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up