Provider Demographics
NPI:1093742330
Name:ADVENT HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ADVENT HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:630-705-9030
Mailing Address - Street 1:1S450 SUMMIT AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3976
Mailing Address - Country:US
Mailing Address - Phone:630-705-9030
Mailing Address - Fax:630-705-9031
Practice Address - Street 1:1S450 SUMMIT AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3976
Practice Address - Country:US
Practice Address - Phone:630-705-9030
Practice Address - Fax:630-705-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010498251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL51182OtherBCBS OF IL
IL=========001Medicaid
IL51182OtherBCBS OF IL