=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194417659
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAEANGELS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2023
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5949 BENT PINE DR APT 1010
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32822-3375
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-367-6256
-----------------------------------------------------
Fax | 954-252-4067
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5949 BENT PINE DR APT 1010
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32822-3375
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-367-6256
-----------------------------------------------------
Fax | 954-252-4067
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR/OWNER
-----------------------------------------------------
Name | MS. BEGONIA AJOSE
-----------------------------------------------------
Credential | CHHA/CCMA/NA
-----------------------------------------------------
Telephone | 754-367-6256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------