MDA ANGEL CARE LLC NPI 1861351405

NPI Information

  • NPI: 1861351405
  • Provider Name: MDA ANGEL CARE LLC
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Organization
  • Address: 3661 PRESCOTT LOOP
    LAKELAND, FL
    ZIP 33810
  • Phone: (727) 400-2512

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NPI Details

MDA ANGEL CARE LLC is a home health registered nurse in Lakeland, FL. MDA ANGEL CARE LLC NPI is 1861351405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3661 PRESCOTT LOOP
LAKELAND, FL
ZIP 33810-863
Phone: (727) 400-2512

The provider's authorized official is Lakendra Monique Wilson .
The authorized official title is Owner and has the following contact phone number (727) 275-0459.

The enumeration date for this NPI number is 1/20/2026 and was last updated on 1/20/2026.

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
1163WH0200XRegistered NurseHome HealthYes

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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