Myrtice Angels Senior Home Care LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12117 Issued in FL

Legal business name

MYRTICE ANGELS SENIOR HOME CARE LLC.

Doing business as

Lafeta Coleman

Practice address

2570 Vernon St.
Jacksonville, FL 32209

Phone

(904) 355-9737

Fax

(904) 358-3933

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lafeta W Coleman

Title

Administrator

Phone

(904) 355-9737

Specialties & licenses 1

Addresses

Other names 1

• Lafeta Coleman Doing business as

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1881952844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DIVISION ST.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-355-9737",
            "fax_number": "904-358-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 VERNON ST.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-355-9737",
            "fax_number": "904-358-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTICE ANGELS SENIOR HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LAFETA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-355-9737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafeta Coleman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myotailor Therapeutics
• Mypsychmd LLC (Saira Saqib,MD)
• Chaleah Martia Myrick
• Myron F Mass MD PA (North Florida Allergy)
• Sarah Myrthil
• Myryde App
• N & J Horn, Inc. (Griswold Home Care Duval-Orange Park)
• N E Florida Internal Medicine PA
• N H Tucker III, M.D. ,P.a.
• N&I Psychiatry LLC

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.