1295103703 NPI number — ADVANCED ADVANTAGE HOMECARE SERVICES LLC

Table of content: (NPI 1295103703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295103703 NPI number — ADVANCED ADVANTAGE HOMECARE SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED ADVANTAGE HOMECARE SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295103703
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3621 FRANKFORD RD
Provider Second Line Business Mailing Address:
APT # 411
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75287-6100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-287-0444
Provider Business Mailing Address Fax Number:
214-731-6156

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3621 FRANKFORD RD
Provider Second Line Business Practice Location Address:
APT # 411
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75287-6100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-287-0444
Provider Business Practice Location Address Fax Number:
214-731-6156
Provider Enumeration Date:
09/14/2015

Additional Information

Authorized Official

Authorized Official Last Name:
NWAOKWU
Authorized Official First Name:
LEO
Authorized Official Middle Name:
IWE
Authorized Official Title or Position:
ADMINISTRATOR/DIRECTOE OPERATIONS
Authorized Official Telephone Number:
512-287-0444

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com