LUIS MARIO ANGLES NPI 1275979908

NPI Information

  • NPI: 1275979908
  • Provider Name: LUIS MARIO ANGLES
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 5413 HAYDEN BLVD
    SARASOTA, FL
    ZIP 34232
  • Phone: (941) 378-4317

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NPI Details

LUIS MARIO ANGLES is an adult care home custodial care facility in Sarasota, FL. The provider is 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. LUIS MARIO ANGLES NPI is 1275979908. The provider is registered as an organization entity type.

The provider's business location address is:

5413 HAYDEN BLVD
SARASOTA, FL
ZIP 34232-735
Phone: (941) 378-4317

The provider's authorized official is Luis Mario Angles .
The authorized official title is Owner and has the following contact phone number (941) 378-4317.

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

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
1311ZA0620XCustodial Care FacilityAdult Care Home6905482FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141647200MEDICAIDFLORIDA

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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