Active NPI
My Blue Angels Therapy Corp
- Attendant Care Provider
- Homestead, FL
National Provider Identifier
1609742816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- MY BLUE ANGELS THERAPY CORP
- Practice address
- 12107 SW 248TH Ter
Homestead, FL 33032-5959 - Phone
- (786) 940-7043
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liliana Betancourt
- Title
- Owner
- Phone
- (786) 244-1191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
12107 SW 248TH Ter
Homestead, FL 33032-5959
Mailing address
12107 SW 248TH Ter
Homestead, FL 33032-5959
Phone (786) 244-1191
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Hialeah, FL
- NPI 1659949261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1609742816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12107 SW 248TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325959",
"telephone_number": "786-244-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12107 SW 248TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330325959",
"telephone_number": "786-940-7043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY BLUE ANGELS THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "BETANCOURT",
"authorized_official_first_name": "LILIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-244-1191"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.