Healthcare Provider Details

I. General information

NPI: 1467805507
Provider Name (Legal Business Name): ADVANTAGE CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RINEHART RD STE 3124
LAKE MARY FL
32746-4958
US

IV. Provider business mailing address

600 RINEHART RD STE 3124
LAKE MARY FL
32746-4958
US

V. Phone/Fax

Practice location:
  • Phone: 352-250-1893
  • Fax:
Mailing address:
  • Phone: 352-250-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BERNADINE UKAH
Title or Position: OWNER
Credential:
Phone: 352-250-1893