Provider Demographics
NPI:1174670715
Name:ADVANCE HEALTHLINK INC.
Entity Type:Organization
Organization Name:ADVANCE HEALTHLINK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:EMERALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARGONZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-357-8510
Mailing Address - Street 1:2490 HONOLULU AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1800
Mailing Address - Country:US
Mailing Address - Phone:818-249-4001
Mailing Address - Fax:818-249-4026
Practice Address - Street 1:2490 HONOLULU AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1800
Practice Address - Country:US
Practice Address - Phone:818-249-4001
Practice Address - Fax:818-249-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059044Medicare Oscar/Certification