My'Angels Passionate Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MY'ANGELS PASSIONATE CARE INC

Practice address

2691 University Blvd N
Unit E210
Jacksonville FL, 32211, FL 32211

Phone

(904) 780-1401

NPI assigned

Aug 29, 2022

Organization subpart

No

Name

Davney M Daise

Title

Ceo

Phone

(904) 780-1401

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2022.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1194445320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 UNIVERSITY BLVD N",
            "address_2": "UNIT E210",
            "city": "JACKSONVILLE FL, 32211",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-780-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 UNIVERSITY BLVD N",
            "address_2": "UNIT E210",
            "city": "JACKSONVILLE FL, 32211",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-780-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY'ANGELS PASSIONATE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "DAISE",
        "authorized_official_first_name": "DAVNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-780-1401"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "COMPANION",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "HOMECARE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.