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ANGELS HOME HEALTH CARE GROUP CORP
NPI 1407711195
Technician - Attendant Care Provider in Tampa, FL

Active since December 16, 2025CLIA 10D2333815 · Waiver
4040 W WATERS AVE STE 202, TAMPA, FL 33614(813) 999-1020(813) 999-1156 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Angels Home Health Care Group Corp NPPES

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

ANGELS HOME HEALTH CARE GROUP CORP (NPI 1407711195) is a healthcare organization registered as an attendant care provider in Tampa, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Yelenis Graveran Otano, Owner/cfo, as its authorized official.

NPPES Registry Identity

NPI1407711195
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameANGELS HOME HEALTH CARE GROUP CORP
Location Address4040 W WATERS AVE STE 202Tampa, FL 33614-8153
Mailing Address4040 W Waters Ave Ste 202Tampa, FL 33614-8153 · (813) 999-1020 · Fax (813) 999-1156
Phone(813) 999-1020
Fax(813) 999-1156
Organization SubpartNo
Authorized OfficialYelenis Graveran OtanoOwner/cfo · (813) 531-4923
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1407711195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
4040 W WATERS AVE STE 202, Tampa, FL 33614
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2333815

Angels Home Health Care Group Corp · Tampa, FL
Active · expires Nov 11, 2027
CLIA Number10D2333815
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorDayana Rodriguez Lopez
Laboratory Phone(813) 999-1020
Laboratory LocationAngels Home Health Care Group Corp4040 W Waters Ave Ste 202, Tampa, FL 33614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ANGELS HOME HEALTH CARE GROUP CORP
Home Health
4040 W WATERS AVE STE 202
TAMPA, FL 33614
Hillsborough County (813) 999-1020

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 Angels Home Health Care Group Corp's NPI number?

The NPI number for Angels Home Health Care Group Corp is 1407711195. It was assigned to this organization in the NPPES registry on December 16, 2025.

Where is Angels Home Health Care Group Corp located?

Angels Home Health Care Group Corp is located at 4040 W Waters Ave Ste 202, Tampa, FL 33614. The listed phone number is (813) 999-1020.

What is Angels Home Health Care Group Corp's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Does Angels Home Health Care Group Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2333815) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angels Home Health Care Group Corp was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.