Advance Home Health, Corp.

Organization Active NPI Home Health Agency · Miami Lakes, FL

NPI 1881714533 · NPPES record last updated Nov 17, 2008

Key facts

NPI
1881714533
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
299992621 (FL)
Legal business name
ADVANCE HOME HEALTH, CORP.
Practice address
5951 NW 151St St
Suite 111
Miami Lakes, FL 33014-2439
Phone
(305) 820-9840
Fax
(305) 820-9841
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Ileana Demien
Title
President
Phone
(305) 820-9840

National Provider Directory

Locations

5951 NW 151st St
Ste 111
Miami Lakes, FL 33014
Phone (305) 820-9840

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992621 FL Yes

Addresses

Primary practice location

5951 NW 151St St
Suite 111
Miami Lakes, FL 33014-2439

Mailing address

5951 NW 151St St
Suite 111
Miami Lakes, FL 33014-2439
Phone (305) 820-9840

Other identifiers

IdentifierTypeStateIssuer
10-9048OtherFLMEDICARE. CCN
651553300MedicaidFL

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.