Provider Demographics
NPI:1528455854
Name:AVERY TRITT HOLDINGS, LLC
Entity type:Organization
Organization Name:AVERY TRITT HOLDINGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:ALINE
Authorized Official - Last Name:BRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-343-6462
Mailing Address - Street 1:17757 US HIGHWAY 19 N STE 325
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3503
Mailing Address - Country:US
Mailing Address - Phone:727-343-6462
Mailing Address - Fax:727-255-5230
Practice Address - Street 1:17757 US HIGHWAY 19 N STE 325
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3503
Practice Address - Country:US
Practice Address - Phone:727-343-6462
Practice Address - Fax:727-255-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-24
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health