Provider Demographics
NPI:1336644244
Name:ADVANCED HOME HEALTH PC
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:HAYDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-673-8305
Mailing Address - Street 1:201 LOWER NOTCH RD STE C1
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1802
Mailing Address - Country:US
Mailing Address - Phone:973-780-3081
Mailing Address - Fax:
Practice Address - Street 1:201 LOWER NOTCH RD STE C1
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1802
Practice Address - Country:US
Practice Address - Phone:973-780-3081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-25
Last Update Date:2018-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HP0274600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health