My'Angels Passionate Care INC
In Home Supportive Care in Jacksonville Fl, 32211, FL. Organization (NPI-2).
NPI number1194445320
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1194445320
- Entity type
- Organization (NPI-2)
- Legal business name
- My'Angels Passionate Care INC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
2691 University Blvd NUnit E210
Jacksonville Fl, 32211, FL 32211
Phone 904-780-1401
Mailing address
2691 University Blvd NUnit E210
Jacksonville Fl, 32211, FL 32211
Phone 904-780-1401
Authorized official
Davney M Daise
Ceo
9047801401
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