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General NPI Number Information
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NPI Number | 1326327412
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Entity Type | Organization
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Legal Business Name | AMERIVITA HOME CARE INC.
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1553 BOREN DRIVE
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City | OCOEE
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State | FL
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Zip | 34761-3916
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Country | US
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Telephone | 321-281-3038
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Fax | 321-284-4933
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Provider Business Mailing Address
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Address Line | 1553 BOREN DR
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City | OCOEE
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State | FL
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Zip | 34761-2989
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Country | US
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Telephone | 321-281-3038
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Fax | 321-284-4933
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Authorized Official
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Title or Position | CEO
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Name | NICOLE JOSEPH
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Credential |
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Telephone | 321-281-3038
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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 |
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License Number State |
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