Advance Sam Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCE SAM CARE, INC.

Practice address

2101 Vista Pkwy Ste 200
West Palm Beach, FL 33411-2706

Phone

(561) 228-7450

NPI assigned

Dec 21, 2021

Last updated

Apr 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tibab Delisser

Title

President

Phone

(786) 234-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advance Sam Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advance Sam Care

  • In Home Supportive Care Agency
  • West Palm Beach, FL
  • NPI 1699462960
  NPD tax ID

Locations

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1316607187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-228-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "561-228-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SAM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "DELISSER",
        "authorized_official_first_name": "TIBAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-234-9955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112869600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adult Care Service Corporation LLC
• Adult Quality Care Homes, Inc. (A Country Residence)
• Advance Health Research Center LLC
• Advance Nursing Services Inc
• Advance Sam Care
• Advanced Cardiovascular Consultants LLC
• Advanced Clinical & Orthopedic Massage Inc (The Injury Care Center)
• Advanced Dental Group
• Advanced Emg Sports & Spine, LLC
• Advanced Healthcare Rejuvenating Medicine, LLC

• Home Health Agency in West Palm Beach, FL
• Providers in West Palm Beach, 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 Apr 18, 2023; 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.