Organization Active NPI

Advance Home Care, Inc.

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1295714772
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA20081096 Issued in FL
Legal business name
ADVANCE HOME CARE, INC.
Practice address
13255 SW 137 Ave
Suite 110
Miami, FL 33186
Phone
(305) 596-7111
Fax
(866) 593-0696
NPI assigned
Jan 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Mrs. Andrea Gonzalez
Title
Administrator
Phone
(305) 596-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA20081096 FL Primary

Addresses

Primary practice location

13255 SW 137 Ave
Suite 110
Miami, FL 33186

Mailing address

13255 SW 137 Ave
Suite 110
Miami, FL 33186
Phone (305) 596-7111

Other identifiers 1

IdentifierTypeStateIssuer
650604600MedicaidFL

National Provider Directory

National Provider Directory

Locations

13255 SW 137th Ave
Ste 110
Miami, FL 33186
Phone (305) 596-7111

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1295714772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 SW 137 AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-596-7111",
            "fax_number": "866-593-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 SW 137 AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-596-7111",
            "fax_number": "866-593-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-596-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA20081096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650604600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.