Healthcare Provider Details

I. General information

NPI: 1720006414
Provider Name (Legal Business Name): ADVANCED NURSING CONCEPTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 LAGRANDE BLVD STE C
THE VILLAGES FL
32159-2393
US

IV. Provider business mailing address

5900 LAKE ELLENOR DR STE 700B
ORLANDO FL
32809-4618
US

V. Phone/Fax

Practice location:
  • Phone: 352-742-9856
  • Fax: 352-820-3975
Mailing address:
  • Phone: 352-742-9856
  • Fax: 352-820-3975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299991635
License Number StateFL

VIII. Authorized Official

Name: KIMBERLY L. BIEGASIEWICZ
Title or Position: PRESIDENT
Credential:
Phone: 407-216-0101