Healthcare Provider Details

I. General information

NPI: 1326327412
Provider Name (Legal Business Name): AMERIVITA HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 01/23/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1553 BOREN DRIVE
OCOEE FL
34761-3916
US

IV. Provider business mailing address

1553 BOREN DR
OCOEE FL
34761-2989
US

V. Phone/Fax

Practice location:
  • Phone: 321-281-3038
  • Fax: 321-284-4933
Mailing address:
  • Phone: 321-281-3038
  • Fax: 321-284-4933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE JOSEPH
Title or Position: CEO
Credential:
Phone: 321-281-3038