Provider Demographics
NPI:1346271178
Name:ADVANTACARE HEALTH PARTNERS, INC
Entity Type:Organization
Organization Name:ADVANTACARE HEALTH PARTNERS, INC
Other - Org Name:ADVANTACARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DUNCAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:800-892-4222
Mailing Address - Street 1:5 MANDEVILLE CT
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5745
Mailing Address - Country:US
Mailing Address - Phone:800-892-4222
Mailing Address - Fax:831-655-6481
Practice Address - Street 1:5 MANDEVILLE CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5745
Practice Address - Country:US
Practice Address - Phone:800-892-4222
Practice Address - Fax:831-655-6481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00302FMedicaid
CA1234810001Medicare ID - Type Unspecified