MEDICARE: ADELCARE II, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	261QD1600X	Developmental Disabilities Clinic/Center
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	385HR2065X	Child Physical Disabilities Respite Care
6	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	:	1831375971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADELCARE II, INC

Provider Business Mailing Address
First Line	:	3206 S CONWAY RD STE 5
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-7316
Country	:	US
Telephone Number	:	407-278-4822
Fax Number	:	407-855-1885

Provider Business Practice Location Address
First Line	:	3206 S CONWAY RD STE 5
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-7316
Country	:	US
Telephone Number	:	407-222-9555
Fax Number	:	407-275-1517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEANNETTE MAEZTU
Credential	:
Telephone Number	:	407-222-9555

Provider Enumeration Date	:	01/19/2008
Last Update Date	:	02/19/2025

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Directions to “ADELCARE II, INC ” Practice Location

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