MEDICARE: AVANZA HOME CARE 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	253Z00000X	In Home Supportive Care Agency

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	:	1558159616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVANZA HOME CARE INC

Provider Business Mailing Address
First Line	:	300 W SUNRISE BLVD STE 13
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6200
Country	:	US
Telephone Number	:	954-799-5580
Fax Number	:	954-799-5580

Provider Business Practice Location Address
First Line	:	300 W SUNRISE BLVD STE 13
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6200
Country	:	US
Telephone Number	:	954-799-5580
Fax Number	:	954-799-5580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ORFILIO C VALDESUSO
Credential	:
Telephone Number	:	305-793-8866

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	05/26/2026

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Directions to “AVANZA HOME CARE INC ” Practice Location

Language	Start Address	Practice Location

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