MEDICARE: ADREAION S ALGERE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	280.000073	FL

General Provider Information

NPI Number	:	1043817539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADREAION S ALGERE

Provider Business Mailing Address
First Line	:	7143 STATE ROAD 54 APT 161
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6104
Country	:	US
Telephone Number	:	813-650-4799
Fax Number	:

Provider Business Practice Location Address
First Line	:	8304 N HILLSBOROUGH LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-3531
Country	:	US
Telephone Number	:	813-650-4799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	10/07/2020

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