Provider Demographics
NPI:1154605400
Name:AMERICAN ELDERCARE, INC.
Entity type:Organization
Organization Name:AMERICAN ELDERCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-499-9656
Mailing Address - Street 1:14565 SIMS RD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8549
Mailing Address - Country:US
Mailing Address - Phone:561-499-9656
Mailing Address - Fax:
Practice Address - Street 1:7282 PLANTATION RD
Practice Address - Street 2:SUITE 301
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6252
Practice Address - Country:US
Practice Address - Phone:850-462-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993880251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299993880OtherAHCA HOME HEALTH LICENSE