Provider Demographics
NPI:1083033369
Name:ADULT HEALTHCARE ADVOCACY SERVICE
Entity Type:Organization
Organization Name:ADULT HEALTHCARE ADVOCACY SERVICE
Other - Org Name:NORTH BAY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-595-5258
Mailing Address - Street 1:170 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-2144
Mailing Address - Country:US
Mailing Address - Phone:707-595-5258
Mailing Address - Fax:707-595-5276
Practice Address - Street 1:170 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE A
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2144
Practice Address - Country:US
Practice Address - Phone:707-595-5258
Practice Address - Fax:707-595-5276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)