Provider Demographics
NPI:1497348783
Name:AVANT, HEATHER HELEN (CCMA, CNA, BMO)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:HELEN
Last Name:AVANT
Suffix:
Gender:F
Credentials:CCMA, CNA, BMO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28827 HUBBARD ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-8516
Mailing Address - Country:US
Mailing Address - Phone:352-348-2581
Mailing Address - Fax:
Practice Address - Street 1:28827 HUBBARD ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-8516
Practice Address - Country:US
Practice Address - Phone:352-348-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No251E00000XAgenciesHome Health
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide