Provider Demographics
NPI:1306403688
Name:ADVANTAGE HOMECARE LLC
Entity Type:Organization
Organization Name:ADVANTAGE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-733-4766
Mailing Address - Street 1:1110 N LOOP 336 W STE 330A
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1197
Mailing Address - Country:US
Mailing Address - Phone:281-733-4766
Mailing Address - Fax:
Practice Address - Street 1:1110 N LOOP 336 W STE 330A
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1197
Practice Address - Country:US
Practice Address - Phone:713-480-6236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care