Amerivita Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 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

Last updated

Jan 23, 2025By 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

Nicole Joseph

Title

Ceo

Phone

(321) 281-3038

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326327412. Details of each certification follow.

• CCN 103192 Home health agency · Active · Details

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

CorporationProprietary

Incorporated

Jul 7, 2011 in FL

Enrollment address

1553 Boren Dr
Ocoee, FL 34761-2989

Listed as

Amerivita Home Care IncCCN 103192 · All quality measures

Ownership

Proprietary

Certified

Mar 12, 2013

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 1

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": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1326327412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612989",
            "telephone_number": "321-281-3038",
            "fax_number": "321-284-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 BOREN DRIVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613916",
            "telephone_number": "321-281-3038",
            "fax_number": "321-284-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIVITA HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-281-3038"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.