Provider Demographics
NPI:1457774226
Name:ADMIRE CARE, LLC
Entity Type:Organization
Organization Name:ADMIRE CARE, LLC
Other - Org Name:ADMIRE CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADMIRE
Authorized Official - Middle Name:HAWA
Authorized Official - Last Name:KROMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-241-8204
Mailing Address - Street 1:7635 ASHLEY PARK CT STE 503N
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6197
Mailing Address - Country:US
Mailing Address - Phone:352-241-8204
Mailing Address - Fax:352-241-8304
Practice Address - Street 1:7635 ASHLEY PARK CT STE 503N
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6197
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:2014-01-29
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000880500Medicaid