MEDICARE: HELPING4ANGELS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851900112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING4ANGELS LLC

Provider Business Mailing Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	904-371-6599
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	904-371-6599
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. KIARA CLAY
Credential	:
Telephone Number	:	904-226-0611

Provider Enumeration Date	:	07/23/2020
Last Update Date	:	07/23/2020

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Directions to “HELPING4ANGELS LLC ” Practice Location

Language	Start Address	Practice Location

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