My Angels J&J Ppec, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

MY ANGELS J&J PPEC, LLC

Practice address

5449 S Semoran Blvd Ste 12B
Orlando, FL 32822-1778

Phone

(321) 946-6479

Fax

(407) 237-0897

NPI assigned

Jun 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Julia Quintero

Title

Administrator

Phone

(786) 567-0077

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1225712649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 12B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "321-946-6479",
            "fax_number": "407-237-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 S SEMORAN BLVD STE 12B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221778",
            "telephone_number": "321-946-6479",
            "fax_number": "407-237-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ANGELS J&J PPEC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-567-0077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.