Provider Demographics
NPI:1225496268
Name:ADVANTAGE HOME CARE, LLC
Entity Type:Organization
Organization Name:ADVANTAGE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-440-6846
Mailing Address - Street 1:11282 N 162ND LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4600
Mailing Address - Country:US
Mailing Address - Phone:480-440-6846
Mailing Address - Fax:
Practice Address - Street 1:11510 W LANGFORD CT
Practice Address - Street 2:
Practice Address - City:YOUNGTOWN
Practice Address - State:AZ
Practice Address - Zip Code:85363-1426
Practice Address - Country:US
Practice Address - Phone:623-243-5664
Practice Address - Fax:888-345-6916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL7346H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility