Active NPI
Home Angels Care, LLC
- In Home Supportive Care Agency
- Jacksonville, FL
National Provider Identifier
1689268963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HOME ANGELS CARE, LLC
- Practice address
- 5464 Rollins Ave
Jacksonville, FL 32207-7715 - Phone
- (904) 888-7629
- NPI assigned
- Feb 26, 2021
- 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
- Emiliya Mustafaeva
- Title
- Administrator
- Phone
- (904) 888-7629
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
5464 Rollins Ave
Jacksonville, FL 32207-7715
Mailing address
5464 Rollins Ave
Jacksonville, FL 32207-7715
Phone (904) 888-7629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126008300 | Medicaid | FL | |
| 236502 | Other | FL | AHCA |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1689268963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5464 ROLLINS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322077715",
"telephone_number": "904-888-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5464 ROLLINS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322077715",
"telephone_number": "904-888-7629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME ANGELS CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-26",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "MUSTAFAEVA",
"authorized_official_first_name": "EMILIYA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "904-888-7629"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"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": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126008300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "236502",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, 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.