Provider Demographics
NPI:1851567614
Name:MY ANGELS HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:MY ANGELS HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-3144
Mailing Address - Street 1:7225 NW 25TH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-7110
Mailing Address - Country:US
Mailing Address - Phone:305-883-3144
Mailing Address - Fax:305-883-3189
Practice Address - Street 1:7225 NW 25TH ST STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-7110
Practice Address - Country:US
Practice Address - Phone:305-883-3144
Practice Address - Fax:305-883-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health