=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851052229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCE NURSING CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2022
-----------------------------------------------------
Last Update Date | 02/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11401 SW 40TH ST STE 306
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33165-3339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-536-2673
-----------------------------------------------------
Fax | 786-536-2617
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11401 SW 40TH ST STE 306
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33165-3339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-546-8155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CLAUDIA M DIEGO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-546-8155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------