Organization
ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Active
Other names
Florida Hospital Hospice Care, MEMORIAL HOSPITAL FLAGLER INC, ADVENTHEALTH HOSPICE, ADVENTHEALTH HOSPICE CARE EAST FLORIDA
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 304, ORMOND BEACH, FL 32174-5180
(386) 671-2138
(386) 672-0314
Mailing address
770 W GRANADA BLVD STE 304, ORMOND BEACH, FL 32174-5180
(386) 671-2138
(386) 672-0314
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
5039096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150003100
—
FL
01
—
592951991010
TRICARE
FL
01
—
U38
BLUE CROSS
FL
Enumeration date
09/12/2006
Last updated
01/02/2025
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