Mary'S Angel'S Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARY'S ANGEL'S HOME CARE AGENCY LLC

Practice address

5350 Arlington Expy Apt 4011
Jacksonville, FL 32211-6865

Phone

(904) 674-5075

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Laqwanda Dennis

Title

Owner

Phone

(904) 674-5075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1669962346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350264",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322350264",
            "telephone_number": "904-674-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 ARLINGTON EXPY APT 4011",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116865",
            "telephone_number": "904-674-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S ANGEL'S HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LAQWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-674-5075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William James Marvin Jr., M.D.
• Marwan M. Shaykh, M.D., P.a.
• Brooke N Maryak, MD
• Amaya Francis Marie Marzano
• Jennifer Farhat Marzoug, ARNP
• Pedro G Mascaro, MD
• Carolyn Mascho, ARNP

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.