Provider Demographics
NPI:1396016002
Name:ADVANCED CARE LLC
Entity Type:Organization
Organization Name:ADVANCED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-239-5474
Mailing Address - Street 1:10033 N PORT WASHINGTON RD STE 175
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5766
Mailing Address - Country:US
Mailing Address - Phone:262-236-9194
Mailing Address - Fax:262-236-9087
Practice Address - Street 1:10033 N PORT WASHINGTON RD STE 175
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5766
Practice Address - Country:US
Practice Address - Phone:262-236-9194
Practice Address - Fax:262-236-9087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care