Basic Information
| Provider Information | |||||||||
| NPI: | 1871593673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN ELDERCARE, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5861 HERITAGE PARK WAY | ||||||||
| Address2: | |||||||||
| City: | DELRAY BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334848554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614999656 | ||||||||
| FaxNumber: | 5614950519 | ||||||||
| Practice Location | |||||||||
| Address1: | 644 CESERY BLVD | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322117116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9047245600 | ||||||||
| FaxNumber: | 9047245080 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2005 | ||||||||
| LastUpdateDate: | 10/31/2008 | ||||||||
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| AuthorizedOfficialLastName: | SCHEMEL | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5614999656 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HHA299991930 | FL | Y | Agencies | Home Health |
No ID Information.