# MY HEALING ANGELS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Healing Angels LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972129914
- **Authorized official:** NIKKIA THOMAS (OWNER)
- **Authorized official phone:** (678) 315-3559

## Contact information

- **Practice address:** 997 COMMERCE DR SW STE B, CONYERS, GA 30094-6647
- **Practice address phone:** (678) 701-6660
- **Mailing address:** 15 MARY JANE LN, COVINGTON, GA 30016-2325
- **Mailing address phone:** (678) 701-6660
- **Mailing address fax:** (678) 487-8535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 01/20/2025