Provider Demographics
NPI:1295386712
Name:ADVENT HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ADVENT HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:IKPEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-807-9142
Mailing Address - Street 1:6001 W CENTER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-2154
Mailing Address - Country:US
Mailing Address - Phone:414-369-4440
Mailing Address - Fax:833-833-4806
Practice Address - Street 1:6001 W CENTER ST STE 200
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2154
Practice Address - Country:US
Practice Address - Phone:414-369-4440
Practice Address - Fax:833-833-4806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVENT HOME HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health