MEDICARE: ADVENTHEALTH HOME HEALTH AND HOSPICE INC

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	251F00000X	Home Infusion Agency
2	251E00000X	Home Health Agency	HHA21196096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124085238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTHEALTH HOME HEALTH AND HOSPICE INC

Provider Business Mailing Address
First Line	:	12903 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0907
Country	:	US
Telephone Number	:	813-615-7700
Fax Number	:	813-615-8189

Provider Business Practice Location Address
First Line	:	12903 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0907
Country	:	US
Telephone Number	:	813-615-7700
Fax Number	:	813-615-8189

Authorized Official
Title or Position	:	CFO
Name	:	MARK WHEELER
Credential	:
Telephone Number	:	530-545-1409

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	01/02/2025

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