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DOROTHY'S ANGELS, LLC
NPI 1114416872
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Active since May 08, 2018
3190 SEDONA TRL, JACKSONVILLE, FL 32208(904) 798-0282 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2018, Aug 26, 2018, May 8, 2018 (3 updates tracked since 2018).

About Dorothy's Angels, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOROTHY'S ANGELS, LLC (NPI 1114416872) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, Florida and active in the NPI registry since May 2018. The organization lists Crystal Tramaine Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1114416872
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDOROTHY'S ANGELS, LLC
Location Address3190 SEDONA TRLJacksonville, FL 32208
Mailing Address3190 Sedona TrlJacksonville, FL 32208-8441 · (904) 798-0282
Phone(904) 798-0282
Organization SubpartNo
Authorized OfficialCrystal Tramaine SimmonsOwner · (904) 894-8386
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 27, 20183 updates tracked since enumeration
✔ NPI 1114416872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedNurse's AideTaxonomy 376K00000X
Also ListedRespite CareTaxonomy 385H00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
3190 SEDONA TRL, Jacksonville, FL 32208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CRYSTAL TRAMAINE SIMMONS LPN
Licensed Practical Nurse
3190 SEDONA TRL
JACKSONVILLE, FL 32208
Duval County (904) 894-8386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy's Angels, LLC's NPI number?

The NPI number for Dorothy's Angels, LLC is 1114416872. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Dorothy's Angels, LLC located?

Dorothy's Angels, LLC is located at 3190 Sedona Trl, Jacksonville, FL 32208. The listed phone number is (904) 798-0282.

What is Dorothy's Angels, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dorothy's Angels, LLC was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.