Advance Sam Care

LBN: Advance Sam Care
Advance Sam Care is an health care organization with primary practice located at 2101 Vista Pkwy Ste 200 , West Palm Beach FL 33411-2706. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Advance Sam Care can be contacted via phone (561) 228-7450, or through Delisser, Tibab via phone (561) 228-7450.

Contact Information

Primary practice address
2101 Vista Pkwy Ste 200 West Palm Beach FL 33411-2706
Phone: (561) 228-7450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Delisser, Tibab
Phone: (561) 228-7450

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1699462960
LBN Legal business name Advance Sam Care
DBA Doing business as
Authorized official Delisser, Tibab
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699462960 NPPES
Florida MEDICAID 112869600

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