Provider Demographics
NPI:1114967999
Name:ADVANTAGE HOME CARE, INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-282-2627
Mailing Address - Street 1:1406 EUREKA RD
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-6102
Mailing Address - Country:US
Mailing Address - Phone:734-282-2627
Mailing Address - Fax:734-282-2639
Practice Address - Street 1:1406 EUREKA RD
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-6102
Practice Address - Country:US
Practice Address - Phone:734-282-2627
Practice Address - Fax:734-282-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237592Medicare ID - Type Unspecified