NPIMap

Organization Active NPI

Boomerang Home Services

Doing business as Age Advantage HCS

  • Home Health Agency
  • Winter Garden, FL
National Provider Identifier
1528301256
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
33462 Issued in FL
Legal business name
BOOMERANG HOME SERVICES
Doing business as
Age Advantage HCS
Practice address
525 W Plant St
Suite a
Winter Garden, FL 34787-3069
Phone
(407) 347-2050
Fax
(866) 446-1834
NPI assigned
Apr 1, 2013
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Mr. Jennifer L Campbell
Title
Owner
Phone
(407) 347-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 33462 FL Primary

Addresses

Primary practice location

525 W Plant St
Suite a
Winter Garden, FL 34787-3069

Mailing address

525 W Plant St
Ste a
Winter Garden, FL 34787-3069
Phone (407) 347-2050

Other names 1

  • Age Advantage HCS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Age Advantage HCS2 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.

Locations

525 W Plant St
Ste A
Winter Garden, FL 34787
Phone (407) 347-2050

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1528301256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W PLANT ST",
            "address_2": "STE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873069",
            "telephone_number": "407-347-2050",
            "fax_number": "866-446-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W PLANT ST",
            "address_2": "SUITE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873069",
            "telephone_number": "407-347-2050",
            "fax_number": "866-446-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMERANG HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-347-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "33462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Age Advantage HCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.