Provider Demographics
NPI:1154833184
Name:OPERATION ADVANTAGE INC.
Entity Type:Organization
Organization Name:OPERATION ADVANTAGE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:LACY
Authorized Official - Last Name:BLACKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:214-868-8316
Mailing Address - Street 1:2747 POINT VW
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6936
Mailing Address - Country:US
Mailing Address - Phone:214-868-8316
Mailing Address - Fax:214-276-1467
Practice Address - Street 1:2747 POINT VW
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6936
Practice Address - Country:US
Practice Address - Phone:214-868-8316
Practice Address - Fax:214-276-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X, 251E00000X, 251T00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care