Advance Life Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADVANCE LIFE CARE INC

Practice address

9628 NE 2ND Ave # B3
Miami Shores, FL 33138-2767

Phone

(305) 907-7554

Fax

(305) 907-7554

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dowil HenryNPI 1164961694

Title

Owner

Phone

(305) 907-7554

Specialties & licenses 1

Addresses

Other names 1

• ONE LIFE SOURCE Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dowil Henry, EMT

  • Basic Emergency Medical Technician
  • Miami Shores, FL
  • NPI 1164961694
  Authorized official Same address or phone

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1932603834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 NE 2ND AVE # B3",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382767",
            "telephone_number": "305-907-7554",
            "fax_number": "305-907-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 NE 2ND AVE # B3",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382767",
            "telephone_number": "305-907-7554",
            "fax_number": "305-907-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE LIFE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DOWIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-907-7554"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONE LIFE SOURCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in Miami Shores, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.