Provider Demographics
NPI:1326162512
Name:ADVANTAGE HOME HEALTH PLUS, INC.
Entity Type:Organization
Organization Name:ADVANTAGE HOME HEALTH PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-234-9705
Mailing Address - Street 1:30 E SCRANTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-2580
Mailing Address - Country:US
Mailing Address - Phone:847-234-9705
Mailing Address - Fax:847-234-9706
Practice Address - Street 1:30 E. SCRANTON AVENUE
Practice Address - Street 2:
Practice Address - City:LAKE-BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-0000
Practice Address - Country:US
Practice Address - Phone:847-234-9705
Practice Address - Fax:847-234-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========6004401Medicaid
IL147918Medicare Oscar/Certification
IL=========6004401Medicaid