Provider Demographics
NPI:1578794400
Name:ADMIRE CARE, LLC
Entity Type:Organization
Organization Name:ADMIRE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADMIRE
Authorized Official - Middle Name:HAWA
Authorized Official - Last Name:KROMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:352-241-8204
Mailing Address - Street 1:600 N HIGHWAY 27 STE 5
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-6265
Mailing Address - Country:US
Mailing Address - Phone:407-227-6494
Mailing Address - Fax:352-241-8304
Practice Address - Street 1:104 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-2575
Practice Address - Country:US
Practice Address - Phone:352-241-8204
Practice Address - Fax:352-241-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010649300Medicaid
FL000880500Medicaid