Provider Demographics
NPI:1184868143
Name:ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Entity type:Organization
Organization Name:ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-545-1409
Mailing Address - Street 1:217 HOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-2041
Mailing Address - Country:US
Mailing Address - Phone:352-796-7424
Mailing Address - Fax:352-796-7423
Practice Address - Street 1:217 HOWELL AVE
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2041
Practice Address - Country:US
Practice Address - Phone:352-796-7424
Practice Address - Fax:352-796-7423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109787Medicare Oscar/Certification