Organization
HOME ANGELS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIYA MUSTAFAEVA (ADMINISTRATOR)
(904) 888-7629
Entity
Organization
Contact information
Practice address
5464 ROLLINS AVE, JACKSONVILLE, FL 32207-7715
(904) 888-7629
Mailing address
5464 ROLLINS AVE, JACKSONVILLE, FL 32207-7715
(904) 888-7629
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126008300
—
FL
01
—
236502
AHCA
FL
Enumeration date
02/26/2021
Last updated
01/05/2026
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