Little Angels

What Little Angels does

Little Angels PPEC is a Central Florida-based, AHCA-licensed Prescribed Pediatric Extended Care (PPEC) and medical daycare operator serving Medicaid-eligible children (ages 0-21) with chronic, complex medical needs. The company delivers up to 12 hours per day of skilled nursing, physical, occupational, and speech therapy, nonemergency medical transportation staffed by EMTs, and Medicaid-covered in-home health services, all under a single care model. Founded in January 2018 by Dr. Jag Ambwani (MD, FAAP), the company operates three facilities in Longwood, Orlando, and (forthcoming) Apopka, FL, and employs 51-100 clinical and operational staff.

The core technology layer is an advanced electronic health records (EHR) implementation credited with reducing emergency room visits by 90% for medically complex children, supported by an InTouch patient portal for scheduling, records access, and care-team communication. The company does not disclose any proprietary technology platform, AI/ML capabilities, mobile application, or API surface; the technology stack is best characterized as a third-party practice management and EHR environment (with Tebra/Kareo-style patient-pop tooling visible from the public web presence) layered onto standard clinical operations.

The revenue model is a Medicaid- and insurance-reimbursed managed services business, with primary revenue from PPEC per-diem billing and secondary revenue from therapy, home health, and NEMT transport services. The facility accepts Medicaid plus seven disclosed plans, including Aetna (commercial and Better Health of Florida), Humana (Medicaid HMO and Medicare), Simply Healthcare, Sunshine Health, and CMS Medicare, and works with three NEMT brokers (MTM, Modivcare, Ride2MD). The go-to-market is direct-to-family sales via phone, online booking, pediatrician referrals, and content-driven inbound demand, with a 5.0 Google rating, active social channels, and a recurring blog targeting parents of children with special medical needs.

Name

Little Angels

Legal name

Little Angels PPEC

Website

https://littleangelsppec.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Product category

Pediatric Medical Daycare / Prescribed Pediatric Extended Care (PPEC)

NAICS

Child Care Services (62441), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Child Day Care Services (8351), Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082)

akta.pro primary industry

Medical Complexity & Medically Fragile Childcare (G-tube, trach, seizure care) (HSAAAIAG)

akta.pro secondary industry

Pediatric 24/7 In-Home Care (Medically Fragile Children) (HSABAHAK)

Keywords

• Pediatric medical daycare
• Prescribed pediatric extended care
• Skilled nursing services
• Pediatric therapy services
• Nonemergency medical transportation

Headquarters

HQ city

Orlando

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Medical Daycare Services: Primary revenue stream from providing medical daycare services for children with complex medical needs. Services include skilled nursing care, medical therapy, and PPEC (Prescribed Pediatric Extended Care). Billed primarily through Medicaid and accepted insurance plans including Aetna, Humana, Simply Healthcare, Sunshine Health, and CMS Medicare.
2. Therapy Services: Physical, occupational, and speech therapy services provided as part of comprehensive care plans. Integrated into the medical daycare service offering and covered under Medicaid reimbursement.
3. Medical Transportation: Nonemergency medical transportation services for children attending medical daycare. Staffed by EMTs and covered through Medicaid transport brokers including MTM, Modivcare, and Ride2MD.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Little Angels PPEC operates as an Agency for Health Care Administration (AHCA)-licensed medical daycare center providing Prescribed Pediatric Extended Care (PPEC), skilled nursing, medical therapy (physical, occupational, and speech), home health, and nonemergency medical transportation to Medicaid-eligible children (ages 0-21) with complex medical needs across three Central Florida facilities. Services are integrated under a single care program that delivers up to 12 hours of daily skilled nursing, prescribed therapies, medication management, and peer socialization in a center-based setting, billed primarily through Medicaid and accepted managed care plans.

Product overview

Little Angels PPEC operates as a unified healthcare facility offering Prescribed Pediatric Extended Care (PPEC) services for children with complex medical needs. The organization provides an integrated portfolio of services centered around PPEC as the core program, complemented by Medical Daycare, Medical Therapy (physical, occupational, and speech therapy), Nursing, Home Health, Medical Transportation, Special Needs Children Services, and Premature Babies Care. Services are delivered across three Florida locations (Longwood, Orlando, and Apopka) with licensed medical professionals including doctors, nurses, and therapists. The facility is Agency for Health Care Administration (AHCA)-licensed and serves children ages 20 and younger who are on Medicaid.

Differentiator

Problem solved

Functional benefit

Products and services

• Prescribed Pediatric Extended Care (PPEC) A Medicaid-eligible program providing comprehensive nursing services and therapy for children with complex medical conditions in a non-residential healthcare facility, offering up to 12 hours of care per day.
• Medical Daycare Safe, supervised daycare environment for children with special medical needs providing personalized nonemergency care including nursing, therapy, and prescribed pediatric extended care.
• Medical Therapy Comprehensive therapy services including physical therapy, occupational therapy, and speech therapy provided by highly trained therapists to help children become stronger, more capable, and independent.
• Nursing Skilled nursing care administered by registered nurses (RNs), licensed practical nurses (LPNs), certified nursing assistants (CNAs), and nurse practitioners for special needs children from infancy to age 19.
• Home Health Medicaid-covered in-home medical care services including skilled nursing, feeding tube care, cardiac and neurological disorder care, ventilator management, and rehabilitation therapies.
• Medical Transportation Nonemergency medical transportation (NEMT) providing safe, medically monitored rides staffed by trained EMTs for children attending medical daycare or doctor's appointments.
• Special Needs Children Services Comprehensive care for children with special health care needs including physical, developmental, and sensory impairment disorders, with trained nursing staff managing medications, feeding tubes, and medical equipment.
• Premature Babies Care Specialized medical care for premature infants including breathing treatments, feeding support, surgical site care, medical equipment management, and physical therapy to support growth and developmental milestones.

Quantifiable outcome

• 90% reduction in emergency room visits for medically complex children through advanced electronic health software implementation

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Nine partnerships are on record, tiered minor and core.

• MTM (Medicaid Transport Broker)minorOthersAccepted Medicaid transport broker for nonemergency medical transportation services. MTM provides administrative support for Medicaid transportation logistics.
• Modivcare (Medicaid Transport Broker)minorOthersAccepted Medicaid transport broker for nonemergency medical transportation services. Modivcare manages transportation benefits for Medicaid recipients.
• Ride2MD (Medicaid Transport Broker)minorOthersAccepted Medicaid transport broker for nonemergency medical transportation services.
• AetnaminorOthersAccepted insurance provider. Aetna Better Health of Florida specifically listed as accepted plan for Medicaid managed care.
• HumanaminorOthersAccepted insurance provider. Humana Medicaid HMO and Humana Medicare plans accepted.
• MedicaidcoreOthersPrimary payer for PPEC services. Medicaid is the federal-state program that covers PPEC services for eligible children under 21 who require continuous medical care or therapeutic services.
• Simply HealthcareminorOthersAccepted insurance provider. Simply Healthcare Medicaid HMO accepted.
• Sunshine HealthminorOthersAccepted insurance provider. Sunshine Medicaid HMO and Sunshine CMS Plan accepted.
• CMS MedicareminorOthersAccepted Medicare plan through CMS for eligible patients.

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Centria Healthcare: Centria provides pediatric home health services (including private duty nursing) and applied behavior analysis (ABA) therapy for children with autism and developmental disabilities. Its pediatric home nursing and therapy services overlap with Little Angels' medically complex child focus.
• Thrive Skilled Pediatric Care: Thrive is a pediatric-only home health provider of private duty nursing, home health, and personal care services to medically complex children across multiple states. Its pediatric-only, skilled-nursing-led model directly parallels Little Angels' nursing and home health offerings for the same patient population.
• Pediatric Home Service (PHS): PHS is a pediatric-specialty home care provider offering private duty nursing, home infusion, enteral nutrition, and respiratory care to medically complex children. Its focus on pediatric-only, multi-disciplinary home services makes it one of the closest direct comparables in clinical scope to Little Angels' pediatric focus.

Others

• CareCentrix: CareCentrix manages post-acute and home-based care for managed care plans and health systems, including pediatric populations. It is not a direct care provider but is a relevant ecosystem/comparator because it contracts and coordinates pediatric home health services that compete for the same Medicaid managed care dollar as Little Angels.

Broad incumbents

• Aveanna Healthcare: Aveanna is a publicly traded (AVAH) home health provider with a dedicated Pediatric Medical Solutions segment that delivers private duty nursing, medical solutions, and adult home health. It is the largest scaled competitor offering pediatric skilled nursing and therapy services analogous to Little Angels' PPEC and home health offerings, but at national scale.
• Gentiva Health Services: Gentiva is a national home health provider with a dedicated pediatric home health service line serving medically complex children. While much broader in scope, its pediatric private duty nursing and therapy services make it a meaningful comparability reference for Little Angels' skilled nursing and therapy services.
• Interim HealthCare: Interim HealthCare is a national home health and personal care franchise network that includes pediatric private duty nursing and home health services. It offers an overlapping clinical service portfolio to Little Angels' nursing and home health programs, though across a much broader service breadth.
• BrightStar Care: BrightStar Care is a national franchise network providing home care, including private duty nursing for medically complex pediatric and adult clients. Franchise units deliver skilled nursing and personal care in the home setting, overlapping with Little Angels' home health and skilled nursing service lines.
• Maxim Healthcare Services: Maxim provides home healthcare, including pediatric private duty nursing and adult home health services, with a large footprint across the U.S. It is comparable to Little Angels in offering around-the-clock skilled nursing to medically complex children in their homes and communities.
• Bayada Home Health Care: Bayada is a large nonprofit home health organization with a substantial Pediatric Home Health practice covering private duty nursing, adult nursing, hospice, and therapy across many states. It overlaps Little Angels most directly in pediatric skilled nursing and home-based therapy services delivered to medically complex children.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/littleangelspp1
• Facebookfacebook.com/littleangelsppec
• LinkedInlinkedin.com/company/little-angels-ppec
• Instagraminstagram.com/littleangelsppec1

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Little Angels