Amerivita Home Care Inc.
Organization Active NPI Home Health Agency · Ocoee, FL
NPI 1326327412 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1326327412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMERIVITA HOME CARE INC.
- Practice address
- 1553 Boren Drive
Ocoee, FL 34761-3916 - Phone
- (321) 281-3038
- Fax
- (321) 284-4933
- NPI assigned
- Aug 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Nicole Joseph
- Title
- Ceo
- Phone
- (321) 281-3038
Medicare Care Compare: Home health agency
- Listed as
- Amerivita Home Care Inc
- Ownership
- Proprietary
- Certified
- Mar 12, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 103192
- Legal name
- AMERIVITA HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 12, 2013
- Last certification
- Mar 1, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 7, 2011 in FL
- Enrollment address
- 1553 Boren Dr
Ocoee, FL 34761-2989
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Nicole Joseph |
5% Or Greater Direct Ownership Interest |
Jul 7, 2011 | 100% |
| Corporate Director |
Jul 7, 2011 | 100% | |
| W-2 Managing Employee |
Jul 7, 2011 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120926000227 | FL | Part a Provider - Home Health Agency | 3274782834 | Practice locations: Ocoee, FL |
National Provider Directory
Locations
1000 N Main St
Kissimmee, FL 34744
Phone (321) 281-3039
13340 W Colonial Dr
Ste 240
Winter Garden, FL 34787
Phone (321) 281-3038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1553 Boren Drive
Ocoee, FL 34761-3916
Mailing address
1553 Boren Dr
Ocoee, FL 34761-2989
Phone (321) 281-3038
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.