Provider Demographics
NPI:1578803094
Name:ADVANCED HOME HEALTH INC
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:
Authorized Official - Last Name:TIRADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-994-2505
Mailing Address - Street 1:27661 CASHFORD CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6976
Mailing Address - Country:US
Mailing Address - Phone:813-994-2505
Mailing Address - Fax:813-994-2501
Practice Address - Street 1:27661 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6976
Practice Address - Country:US
Practice Address - Phone:813-994-2505
Practice Address - Fax:813-994-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102394800Medicaid