Provider Demographics
NPI:1396859047
Name:ADVOCATE HOME HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:ADVOCATE HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-888-9992
Mailing Address - Street 1:445 WALNUT ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5649
Mailing Address - Country:US
Mailing Address - Phone:972-888-9992
Mailing Address - Fax:972-888-9993
Practice Address - Street 1:445 WALNUT ST
Practice Address - Street 2:SUITE 131
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5649
Practice Address - Country:US
Practice Address - Phone:972-888-9992
Practice Address - Fax:972-888-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009399251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009399OtherSTATE LICENSE
TX457883Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER