Healthcare Provider Details

I. General information

NPI: 1639010838
Provider Name (Legal Business Name): AJ NOTARY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4552 OLIVA ST
ORLANDO FL
32811-3857
US

IV. Provider business mailing address

4552 OLIVA ST
ORLANDO FL
32811-3857
US

V. Phone/Fax

Practice location:
  • Phone: 689-245-9711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. AKELA JOHNSON
Title or Position: OWNER
Credential:
Phone: 689-245-9711