Amerivita Home Care West LLC
Organization Active NPI Home Health Agency · Bartow, FL
NPI 1831883545 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1831883545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMERIVITA HOME CARE WEST LLC
- Practice address
- 510 W Main St
Bartow, FL 33830-3657 - Phone
- (321) 281-3038
- Fax
- (321) 284-4933
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicole Joseph
- Title
- President/Admin/Cfo
- Phone
- (407) 462-7670
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2292805 | Amerivita Home Care West LLC | Certificate of waiver | Oct 30, 2027 |
National Provider Directory
Locations
510 W Main St
Bartow, FL 33830
Phone (863) 534-3668
1553 Boren Dr
Ocoee, FL 34761
Phone (321) 281-3038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
510 W Main St
Bartow, FL 33830-3657
Mailing address
1553 Boren Dr
Ocoee, FL 34761-2989
Phone (321) 281-3038
Other practice location 1
1553 Boren Dr
Ocoee, FL 34761-2989
Phone (321) 281-3038
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.