Healthcare Provider Details

I. General information

NPI: 1124085238
Provider Name (Legal Business Name): ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12903 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0907
US

IV. Provider business mailing address

12903 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0907
US

V. Phone/Fax

Practice location:
  • Phone: 813-615-7700
  • Fax: 813-615-8189
Mailing address:
  • Phone: 813-615-7700
  • Fax: 813-615-8189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA21196096
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

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