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General NPI Number Information
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NPI Number | 1134161318
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH HOME HEALTH AND HOSPICE INC
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 770 W GRANADA BLVD STE 319
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5180
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Country | US
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Telephone | 386-673-3121
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Fax | 386-677-6702
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Provider Business Mailing Address
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Address Line | 770 W GRANADA BLVD STE 203
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5179
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Country | US
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Telephone | 863-231-4252
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Fax | 386-231-2560
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Authorized Official
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Title or Position | CFO
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Name | MARK WHEELER
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Credential |
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Telephone | 530-545-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA215580961
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License Number State | FL
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