Provider Demographics
NPI:1114164308
Name:AADVANCE HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AADVANCE HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELKEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BANSAH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:410-744-8200
Mailing Address - Street 1:516 N ROLLING RD
Mailing Address - Street 2:SUITE# 303
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4142
Mailing Address - Country:US
Mailing Address - Phone:410-744-8200
Mailing Address - Fax:410-744-8203
Practice Address - Street 1:516 N ROLLING RD
Practice Address - Street 2:SUITE# 303
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4140
Practice Address - Country:US
Practice Address - Phone:410-744-8200
Practice Address - Fax:410-744-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care