# ADVANCED CARE AGENCY INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649440728
- **Authorized official:** MISS DIANE S SWINDLE (PRESIDENT)
- **Authorized official phone:** (386) 478-0399

## Contact information

- **Practice address:** 212 SHANGRI LA CIRCLE, EDGEWATER, FL 32132
- **Practice address phone:** (386) 478-0399
- **Practice address fax:** (386) 427-6425
- **Mailing address:** 212 SHANGRI LA CIRCLE, EDGEWATER, FL 32132
- **Mailing address phone:** (386) 478-0399
- **Mailing address fax:** (386) 427-6425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | CNA51755 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 05/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 692282196 | MEDWAIVER PROGRAM STATE | — |