Organization Active NPI

Advantage Private Home Health Services, Inc.

  • Home Health Agency
  • Lakeland, FL
National Provider Identifier
1861658577
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30211335 Issued in FL
Legal business name
ADVANTAGE PRIVATE HOME HEALTH SERVICES, INC.
Practice address
607 S Missouri Ave
Lakeland, FL 33815-4735
Phone
(863) 603-9777
Fax
(863) 603-9779
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Mrs. Margaline Lazarre, RN
Title
Ceo
Phone
(863) 603-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211335 FL Primary

Addresses

Primary practice location

607 S Missouri Ave
Lakeland, FL 33815-4735

Mailing address

607 S Missouri Ave
Lakeland, FL 33815-4735
Phone (863) 603-9777

Other identifiers 1

IdentifierTypeStateIssuer
30211335OtherFLAHCA LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

607 S Missouri Ave
Lakeland, FL 33815
Phone (863) 603-9777

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1861658577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S MISSOURI AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154735",
            "telephone_number": "863-603-9777",
            "fax_number": "863-603-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S MISSOURI AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154735",
            "telephone_number": "863-603-9777",
            "fax_number": "863-603-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PRIVATE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "LAZARRE",
        "authorized_official_first_name": "MARGALINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-603-9777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "30211335",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.