=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528152220
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCED THERAPEUTICS HOME HEALTH, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 209 NE 95 STREET SUITE 2
-----------------------------------------------------
City | MIAMI SHORES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-757-0523
-----------------------------------------------------
Fax | 305-757-0524
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 209 NE 95 STREET SUITE 2
-----------------------------------------------------
City | MIAMI SHORES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-757-0523
-----------------------------------------------------
Fax | 305-757-0524
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | DR. FRANK C. PIERRE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-757-0523
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------