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ANGELS ON EARTH SENIOR SERVICE
NPI 1316570609
Custodial Care Facility - Adult Care Home in Tallahassee, FL

Active since February 15, 2020
2211 YAUPON DR, TALLAHASSEE, FL 32303(850) 895-3891 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2023, Feb 15, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About ANGELS ON EARTH SENIOR SERVICE

This page provides the complete NPI Profile along with additional information for Angels On Earth Senior Service, a provider established in Tallahassee, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1316570609 assigned on February 2020. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Latoya Martin Jackson (Owner)

NPI
1316570609 Verify this NPI
Provider Name
ANGELS ON EARTH SENIOR SERVICE
Entity Type
Organization
Location Address
2211 YAUPON DR TALLAHASSEE, FL 32303
Location Phone
(850) 895-3891
Mailing Address
2211 YAUPON DR TALLAHASSEE, FL 32303
Mailing Phone
(305) 240-2741
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2020
Last Update Date
08-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LATOYA MARTIN JACKSON

Authorized Official Title
OWNER
Authorized Official Phone
(850) 728-3413

Reviews for ANGELS ON EARTH SENIOR SERVICE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

ANGELS ON EARTH ASSISTED LIVING HOME, LLC
Assisted Living Facility
2211 YAUPON DR
TALLAHASSEE, FL 32303
Leon County (850) 895-3891

Frequently Asked Questions

What is ANGELS ON EARTH SENIOR SERVICE's NPI number?

The NPI number assigned to this healthcare provider is 1316570609, enumerated as an "organization" on February 15, 2020.

Where is the provider located?

The provider is located at 2211 YAUPON DR TALLAHASSEE, FL 32303 and the phone number is (850) 895-3891.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.