# AMERIVITA HOME CARE WEST LLC

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

## Provider details

- **NPI number:** 1831883545
- **Authorized official:** NICOLE JOSEPH (PRESIDENT/ADMIN/CFO)
- **Authorized official phone:** (407) 462-7670

## Contact information

- **Practice address:** 510 W MAIN ST, BARTOW, FL 33830-3657
- **Practice address phone:** (321) 281-3038
- **Practice address fax:** (321) 284-4933
- **Mailing address:** 1553 BOREN DR, OCOEE, FL 34761-2989
- **Mailing address phone:** (321) 281-3038
- **Mailing address fax:** (321) 284-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2023
- **Last updated:** 03/06/2025