Awesome Angels of Change LLC
NPI 1497229926 · Developmental Disabilities Clinic/Center · Lakeland, FL
Awesome Angels of Change LLC is a Developmental Disabilities Clinic/Center organization in Lakeland, FL (NPI 1497229926).
Provider details
- NPI number
- 1497229926
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shacoya Montgomery, Ceo(863) 617-5840
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Aac
Registry dates
- Enumerated
- 2019-01-17
- Last updated
- 2019-01-17
Frequently asked questions
- What is Awesome Angels of Change LLC's NPI number?
- Awesome Angels of Change LLC's National Provider Identifier (NPI) is 1497229926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Awesome Angels of Change LLC?
- Awesome Angels of Change LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Awesome Angels of Change LLC located?
- Awesome Angels of Change LLC's practice location on file with NPPES is 3909 Sandhill Crane Dr, Lakeland, FL 33811-1862.
- What is Awesome Angels of Change LLC's phone number?
- The practice phone number listed in the NPPES registry for Awesome Angels of Change LLC is (863) 617-5840.
- Who is the authorized official for Awesome Angels of Change LLC?
- The authorized official listed on Awesome Angels of Change LLC's NPPES record is Shacoya Montgomery, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Awesome Angels of Change LLC's NPI active?
- Yes — Awesome Angels of Change LLC's NPI (1497229926) is active in the NPPES registry as of the last update on 2019-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.