Angel of God Heart Support Services LLC
NPI 1265111017ActiveOrganization· Day Training, Developmentally Disabled Services· Lake Wales, FL
Day Training, Developmentally Disabled Services in Lake Wales, Florida, registered in NPPES in July 2023. The authorized official on file is Angel Nickerson, Owner.
Overview
| NPI | 1265111017 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2023 |
| Last updated in NPPES | Jul 17, 2023 |
| Certified by provider | Jul 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Day Training, Developmentally Disabled Services Primary | 251C00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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