Organization
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Active
Other names
Florida Hospital Memorial Home Health, ADVENTHEALTH HOME CARE EAST FLORIDA, ADVENTHEALTH HOME HEALTH, MEMORIAL HOSPITAL FLAGLER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WHEELER (CFO)
(530) 545-1409
Entity
Organization
Contact information
Practice address
770 W GRANADA BLVD STE 319, ORMOND BEACH, FL 32174-5180
(386) 673-3121
(386) 677-6702
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(863) 231-4252
(386) 231-2560
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA215580961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592951990001
CHAMPUS
FL
01
—
H5M
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
06/12/2006
Last updated
01/02/2025
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