Provider Demographics
NPI:1871593673
Name:AMERICAN ELDERCARE, INC
Entity type:Organization
Organization Name:AMERICAN ELDERCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-499-9656
Mailing Address - Street 1:5861 HERITAGE PARK WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8554
Mailing Address - Country:US
Mailing Address - Phone:561-499-9656
Mailing Address - Fax:561-495-0519
Practice Address - Street 1:644 CESERY BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-7116
Practice Address - Country:US
Practice Address - Phone:904-724-5600
Practice Address - Fax:904-724-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299991930251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108090Medicare ID - Type Unspecified