Provider Demographics
NPI:1851052229
Name:ADVANCE NURSING CARE INC
Entity Type:Organization
Organization Name:ADVANCE NURSING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-2617
Mailing Address - Street 1:11401 SW 40TH ST STE 312
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3339
Mailing Address - Country:US
Mailing Address - Phone:786-536-2617
Mailing Address - Fax:
Practice Address - Street 1:11401 SW 40TH ST STE 312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3339
Practice Address - Country:US
Practice Address - Phone:786-536-2617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care