Provider Demographics
NPI:1285790253
Name:ADVANTAGE HOME HEALTH CARE GENERAL SERVICES, INC.
Entity type:Organization
Organization Name:ADVANTAGE HOME HEALTH CARE GENERAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAYANSI
Authorized Official - Middle Name:
Authorized Official - Last Name:OXAMENDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-644-9644
Mailing Address - Street 1:1015 STATE RD 436
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707
Mailing Address - Country:US
Mailing Address - Phone:407-644-9644
Mailing Address - Fax:407-644-7780
Practice Address - Street 1:1015 STATE RD 436
Practice Address - Street 2:SUITE 209
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:407-644-9644
Practice Address - Fax:407-644-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992591251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health