Organization
AMERIVITA HOME CARE WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOSEPH (PRESIDENT/ADMIN/CFO)
(407) 462-7670
Entity
Organization
Contact information
Practice address
510 W MAIN ST, BARTOW, FL 33830-3657
(321) 281-3038
(321) 284-4933
Mailing address
1553 BOREN DR, OCOEE, FL 34761-2989
(321) 281-3038
(321) 284-4933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/06/2023
Last updated
03/06/2025
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