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General NPI Number Information
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NPI Number | 1275553018
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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 | 07/21/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 480 W CENTRAL PKWY
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2415
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Country | US
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Telephone | 407-682-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 480 W CENTRAL PKWY
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2415
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Country | US
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Telephone | 407-682-0808
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Fax |
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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 | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 5030096
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License Number State | FL
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