Andean Geriatric Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANDEAN GERIATRIC SERVICES LLC

Practice address

13770 58TH St N Ste 308
Clearwater, FL 33760-3759

Phone

(727) 262-1212

Fax

(727) 324-6902

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Flavio Vivas

Title

Owner

Phone

(727) 262-1212

Specialties & licenses 1

Addresses

Other names 1

• Touching Hearts at Home - Pinellas Doing business as

Locations

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1750167326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N STE 308",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-262-1212",
            "fax_number": "727-324-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N STE 308",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-262-1212",
            "fax_number": "727-324-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDEAN GERIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "FLAVIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-262-1212"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touching Hearts at Home - Pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahesh Amin, MD
• Samantha Suzanne Ammann, RN, LCSW
• Amp Ltcrx LLC
• Ifeoma Anagboso, MD
• Andres Alfredo Anais, PA
• Brian L. Anderson, M. D.
• Courtney Anderson, SLP
• Kathy L Anderson, D.O.
• Nicholas Anderson, O.D.
• Sabrina Shakria Anderson, CEO

• All providers in Clearwater, FL
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.