DEANGELO GREEN NPI 1154143329

NPI Information

  • NPI: 1154143329
  • Provider Name: DEANGELO GREEN
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 13558 TEDDINGTON LN
    JACKSONVILLE, FL
    ZIP 32226
  • Phone: (904) 662-7642

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NPI Details

Deangelo Green is a homemaker in Jacksonville, FL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Deangelo Green NPI is 1154143329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13558 TEDDINGTON LN
JACKSONVILLE, FL
ZIP 32226
Phone: (904) 662-7642

The enumeration date for this NPI number is 10/29/2024 and was last updated on 10/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemakerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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