Provider Demographics
NPI:1346325768
Name:HOME ADVANTAGE
Entity Type:Organization
Organization Name:HOME ADVANTAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPOURAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MS
Authorized Official - Phone:714-580-2868
Mailing Address - Street 1:19051 GOLDENWEST ST STE 106 # 314
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2156
Mailing Address - Country:US
Mailing Address - Phone:714-580-2868
Mailing Address - Fax:949-566-9932
Practice Address - Street 1:19051 GOLDENWEST ST STE 106 # 314
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2156
Practice Address - Country:US
Practice Address - Phone:714-580-2868
Practice Address - Fax:949-566-9932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty