Provider Demographics
NPI:1174664023
Name:ADVANCED HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:UGOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-479-4335
Mailing Address - Street 1:1245 HANCOCK ST
Mailing Address - Street 2:SUITE 28
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4320
Mailing Address - Country:US
Mailing Address - Phone:617-479-4335
Mailing Address - Fax:617-479-6634
Practice Address - Street 1:1245 HANCOCK ST
Practice Address - Street 2:SUITE 28
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4320
Practice Address - Country:US
Practice Address - Phone:617-479-4335
Practice Address - Fax:617-479-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health