MEDICARE: 2 GOD B THY GLORY 4 HEALING ANGELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	376J00000X	Homemaker
3	372600000X	Adult Companion
4	251E00000X	Home Health Agency
5	372500000X	Chore Provider
6	385HR2055X	Child Mental Illness Respite Care
7	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
8	385HR2065X	Child Physical Disabilities Respite Care
9	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750913760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2 GOD B THY GLORY 4 HEALING ANGELS

Provider Business Mailing Address
First Line	:	5553 #1 SPRINGHILL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808
Country	:	US
Telephone Number	:	407-501-1095
Fax Number	:

Provider Business Practice Location Address
First Line	:	5553 #1 SPRINGHILL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808
Country	:	US
Telephone Number	:	407-501-1095
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ ADMINISTRATOR
Name	:	CHARLOTTE CARTER
Credential	:
Telephone Number	:	407-501-1095

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	02/07/2020

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