ANGEL MARY C
NPI 1700778651
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Davie, FL

Active since July 16, 2025
5500 SW 39TH ST, DAVIE, FL 33314(954) 248-7222 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Mary C NPPES

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

ANGEL MARY C (NPI 1700778651) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Davie, Florida and active in the NPI registry since July 2025. The organization lists Jorge Fernandez, Director, as its authorized official.

NPPES Registry Identity

NPI1700778651
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameANGEL MARY C
Location Address5500 SW 39TH STDavie, FL 33314-3704
Mailing Address5500 Sw 39th StDavie, FL 33314-3704 · (954) 248-7222
Organization SubpartNo
Authorized OfficialJorge FernandezDirector · (954) 248-7222
Enumeration DateJuly 16, 2025
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1700778651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
5500 SW 39TH ST, Davie, FL 33314

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 Angel Mary C's NPI number?

The NPI number for Angel Mary C is 1700778651. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Angel Mary C located?

Angel Mary C is located at 5500 SW 39th St, Davie, FL 33314. The listed phone number is (954) 248-7222.

What is Angel Mary C's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Angel Mary C was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.