Aidvantage Care LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

AIDVANTAGE CARE LLC

Practice address

2573 Cabernet Cir
Ocoee, FL 34761-5042

Phone

(407) 757-6555

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By 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

Taneshia M Bryant

Title

Owner

Phone

(407) 757-6555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1720896574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 CABERNET CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615042",
            "telephone_number": "407-757-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 CABERNET CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615042",
            "telephone_number": "407-757-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDVANTAGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TANESHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-757-6555"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.