My Own Angels LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY OWN ANGELS LLC

Practice address

13475 Atlantic Blvd Ste 8
Jacksonville, FL 32225-3290

Phone

(904) 908-7523

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Shauneequa Latoya Marie Waters

Title

Owner

Phone

(904) 801-0393

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1720792856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 MAREEBA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469403",
            "telephone_number": "904-801-0393",
            "fax_number": "904-212-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 ATLANTIC BLVD STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253290",
            "telephone_number": "904-908-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OWN ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SHAUNEEQUA",
        "authorized_official_middle_name": "LATOYA MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-801-0393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Guardian Angels Senior Care Inc
• My Health My Way, LLC
• My Journey, LLC
• My Medex Lab, LLC
• My Nurse Doctor Primary Care LLC
• My Path Mental Health Center LLC
• My Peace Keeper II Inc.
• My Therapist Shannon LLC
• Alissa Meadow Myatt, LCSW
• James Myatt, DPT

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.