Advantis Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299992041 Issued in FL

Legal business name

ADVANTIS HOME CARE, INC.

Practice address

8801 SW 132ND St
Miami, FL 33176-5926

Phone

(305) 631-1075

Fax

(305) 631-1590

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jessica M Tagle

Title

Administrator

Phone

(305) 631-1075

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advantis Home Care, Inc Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 108275

Legal name

ADVANTIS HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 9, 2006

Last certification

Nov 5, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 20, 2004 in FL

Enrollment address

8864B SW 129TH Ter
Miami, FL 33176-5926

Listed as

Advantis Home Care IncCCN 108275

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Mar 9, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1235216839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765926",
            "telephone_number": "305-631-1075",
            "fax_number": "305-631-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 SW 132ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765926",
            "telephone_number": "305-631-1075",
            "fax_number": "305-631-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTIS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "TAGLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-631-1075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299992041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "10-8275",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651193700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantis Home Care, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.