Active NPI
Amerivita Home Care West LLC
- Home Health Agency
- Bartow, FL
National Provider Identifier
1831883545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
- Last updated
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Joseph
- Title
- President/Admin/Cfo
- Phone
- (407) 462-7670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2292805 | Amerivita Home Care West LLC | Certificate of waiver | Oct 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
510 W Main St
Bartow, FL 33830
Phone (863) 534-3668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1831883545",
"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": "510 W MAIN ST",
"city": "BARTOW",
"state": "FL",
"postal_code": "338303657",
"telephone_number": "321-281-3038",
"fax_number": "321-284-4933"
}
],
"practiceLocations": [
{
"address_1": "1553 Boren Dr",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347612989",
"country_code": "US",
"telephone_number": "321-281-3038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMERIVITA HOME CARE WEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT/ADMIN/CFO",
"authorized_official_telephone_number": "407-462-7670"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.