Provider Demographics
NPI:1831551613
Name:ADVANCED HOME HEALTHCARE GROUP OF PASCO AND PINELLAS
Entity type:Organization
Organization Name:ADVANCED HOME HEALTHCARE GROUP OF PASCO AND PINELLAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAKR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-439-5363
Mailing Address - Street 1:14022 5TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523
Mailing Address - Country:US
Mailing Address - Phone:727-439-5363
Mailing Address - Fax:
Practice Address - Street 1:10730 N 56TH ST
Practice Address - Street 2:SUITE 200B
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617
Practice Address - Country:US
Practice Address - Phone:727-439-5363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health