Provider Demographics
NPI:1285233429
Name:ADVANCE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ADVANCE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMEDALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-705-4848
Mailing Address - Street 1:28 AIDEN DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-4348
Mailing Address - Country:US
Mailing Address - Phone:202-705-4848
Mailing Address - Fax:
Practice Address - Street 1:28 AIDEN DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-4348
Practice Address - Country:US
Practice Address - Phone:202-705-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health