Healthcare Provider Details

I. General information

NPI: 1275553018
Provider Name (Legal Business Name): ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 W CENTRAL PKWY
ALTAMONTE SPRINGS FL
32714-2415
US

IV. Provider business mailing address

480 W CENTRAL PKWY
ALTAMONTE SPRINGS FL
32714-2415
US

V. Phone/Fax

Practice location:
  • Phone: 407-682-0808
  • Fax:
Mailing address:
  • Phone: 407-682-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number5030096
License Number StateFL

VIII. Authorized Official

Name: MARK WHEELER
Title or Position: CFO
Credential:
Phone: 530-545-1409